Organization
STEVENS CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS H STEVENS D.C. (OWNER)
(260) 665-9479
Entity
Organization
Contact information
Practice address
903 WILLIAMS ST, ANGOLA, IN 46703-1167
(260) 665-9479
(260) 665-9470
Mailing address
903 WILLIAMS ST, ANGOLA, IN 46703-1167
(260) 665-9479
(260) 665-9470
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08000795A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100225560
—
IN
Enumeration date
12/09/2010
Last updated
12/09/2010
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