Nathan A Stevens in Olney - Sports Physician

Nathan A Stevens - NPI 1114035896

Nathan A Stevens is a Sports Physician in Olney, Illinois. Nathan A Stevens practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Nathan A Stevens is 1114035896. The last update date is 2012-07-16.

Nathan A Stevens's current location address is Po Box 247, Olney, Illinois. You can contact this provider via phone number 6183952225. The mailing address for Nathan A Stevens is Po Box 247, Olney, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Nathan A Stevens
Address Po Box 247, Olney, Illinois
Phone Number 6183952225
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1114035896
Provider Enumeration Date 2006-08-25
Last Updated Date 2012-07-16

Provider Mailing Address Detail

Address Po Box 247
City Olney
State Illinois (IL)
Post Code 624500247
Phone Number 6183952225
Fax Number

Provider's Primary Taxonomy Detail

Speciality Sports Physician
Taxonomy 111Ns0005X
Licence No 038-008490
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)

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8022501 IL BLUE CROSS BLUE SHIELD
38008490 IL --
350044665 IL RAILROAD MEDICARE

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FAQs about Nathan A Stevens

What is the unique 10-digit identification code issued to Nathan A Stevens by the Centers for Medicare & Medicaid Services?

The Nathan A Stevens has been assigned the NPI (National Provider Identifier) 1114035896 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Nathan A Stevens?

The Nathan A Stevens is physically situated at Po Box 247, in the city of Olney, state of IL, with the postal code 624500247.

What is the area of specialization for Nathan A Stevens, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Nathan A Stevens is Sports Physician, and the corresponding taxonomy code that categorizes this area of expertise is 111Ns0005X.

On what date did the Centers for Medicare & Medicaid Services assign the 1114035896 to Nathan A Stevens?

The Centers for Medicare & Medicaid Services assigned the 1114035896 to Nathan A Stevens on 2006-08-25.

When was the information regarding Nathan A Stevens, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Nathan A Stevens, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-07-16.

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