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Individual
MR. STEVEN CHARLES POULS
Active
Individual
MR. STEVEN CHARLES POULS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00466600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023876
—
NJ
01
—
0782304000
AMERIHEALTH
NJ
01
—
60007194
HORIZON NJ HEALTH
NJ
Enumeration date
12/06/2006
Last updated
07/08/2007
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