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Individual
STEPHEN MICHAEL WATERS
Active
Individual
STEPHEN MICHAEL WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-007292-L
PA
111NX0100X
Occupational Health Chiropractor
AJ-007292-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0763651000
INDEPENDENCE BLUE CROSS
PA
01
—
1033499
ASHN
PA
01
—
1696780
HIGHMARK BLUE SHIELD
PA
01
—
50013490
CAPITAL BLUE CROSS
PA
Enumeration date
01/27/2006
Last updated
12/21/2016
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