Stephan Mark Dehaven in Saint Paul - Chiropractor
Stephan Mark Dehaven - NPI 1609095454
Stephan Mark Dehaven is a Chiropractor in Saint Paul, Minnesota. Stephan Mark Dehaven practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Stephan Mark Dehaven is 1609095454. The last update date is 2007-07-08.
Stephan Mark Dehaven's current location address is 1060 Centerville Cir, Saint Paul, Minnesota. You can contact this provider via phone number 6514293015 and fax number 6516533832. The mailing address for Stephan Mark Dehaven is 1060 Centerville Cir, Saint Paul, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephan Mark Dehaven |
|---|---|
| Address | 1060 Centerville Cir, Saint Paul, Minnesota |
| Phone Number | 6514293015 |
| Fax Number | 6516533832 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1609095454 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1060 Centerville Cir |
|---|---|
| City | Saint Paul |
| State | Minnesota (MN) |
| Post Code | 551276344 |
| Phone Number | 6514293015 |
| Fax Number | 6516533832 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2585 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 59969DE | MN | MINNESOTA |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Stephan Mark Dehaven by the Centers for Medicare & Medicaid Services?
The Stephan Mark Dehaven has been assigned the NPI (National Provider Identifier) 1609095454 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Stephan Mark Dehaven's facilities are geographically located?
The facilities of Stephan Mark Dehaven are physically situated at the following location: 1060 Centerville Cir, Saint Paul, MN, 551276344.
What is the Stephan Mark Dehaven's area of specialization and corresponding taxonomy classification?
The Stephan Mark Dehaven's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1609095454 to Stephan Mark Dehaven?
The Stephan Mark Dehaven received its 1609095454 assignment from the Centers for Medicare & Medicaid Services on 2007-04-24.
When was the information regarding Stephan Mark Dehaven most recently updated?
The details pertaining to the Stephan Mark Dehaven, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.