Provider Demographics
NPI:1295300655
Name:ANTHON, STEPHEN FREDERICK (DC)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:FREDERICK
Last Name:ANTHON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 S CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-4225
Mailing Address - Country:US
Mailing Address - Phone:985-277-1733
Mailing Address - Fax:
Practice Address - Street 1:105 S CHERRY ST
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-4225
Practice Address - Country:US
Practice Address - Phone:985-277-1733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1929111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor