Provider Demographics
NPI:1669630075
Name:TRAMUTA, STEPHEN M (DC)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:M
Last Name:TRAMUTA
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 1:916 WILLIAMS BLVD
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70062-6708
Mailing Address - Country:US
Mailing Address - Phone:504-465-5553
Mailing Address - Fax:504-465-5398
Practice Address - Street 1:916 WILLIAMS BLVD
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70062-6708
Practice Address - Country:US
Practice Address - Phone:504-465-5553
Practice Address - Fax:504-465-5398
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-02
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1223111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAU95603Medicare UPIN