Stephen Dale Iversen in Orange - Sports Physician
Stephen Dale Iversen - NPI 1245345925
Stephen Dale Iversen is a Sports Physician in Orange, California. Stephen Dale Iversen practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Stephen Dale Iversen is 1245345925. The last update date is 2007-07-09.
Stephen Dale Iversen's current location address is 2901 E Katella Ave, Orange, California. You can contact this provider via phone number 7146332225 and fax number 7145322514. The mailing address for Stephen Dale Iversen is 2901 E Katella Ave, Orange, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Dale Iversen |
|---|---|
| Address | 2901 E Katella Ave, Orange, California |
| Phone Number | 7146332225 |
| Fax Number | 7145322514 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1245345925 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 2901 E Katella Ave |
|---|---|
| City | Orange |
| State | California (CA) |
| Post Code | 928675248 |
| Phone Number | 7146332225 |
| Fax Number | 7145322514 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 19846 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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What is the unique identifier code issued to Stephen Dale Iversen by the Centers for Medicare & Medicaid Services (CMS)?
The Stephen Dale Iversen has been assigned the NPI (National Provider Identifier) 1245345925. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Stephen Dale Iversen?
The Stephen Dale Iversen is situated at 2901 E Katella Ave, in the city of Orange, state of CA, with the zip code 928675248.
What is Stephen Dale Iversen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Stephen Dale Iversen's area of specialization is Sports Physician, and the corresponding taxonomy code that categorizes this field of practice is 111Ns0005X.
On what date did the Stephen Dale Iversen receive the assignment of its 1245345925 from the Centers for Medicare & Medicaid Services?
The Stephen Dale Iversen was issued its 1245345925 by the Centers for Medicare & Medicaid Services on 2006-08-20.
When was the information regarding Stephen Dale Iversen most recently updated?
The details pertaining to the Stephen Dale Iversen, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.
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