Organization
STEPHEN D. IVERSEN CHIROPRACTIC
Active
Organization
STEPHEN D. IVERSEN CHIROPRACTIC
Active
Other names
Back In Line Chiropractic Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN DALE IVERSEN D.C. (OWNER/ CHIROPRACTIC PHYSICIAN)
(714) 633-2225
Entity
Organization
Contact information
Practice address
2901 E KATELLA AVE, SUITE H, ORANGE, CA 92867-5248
(714) 633-2225
Mailing address
2901 E KATELLA AVE, SUITE H, ORANGE, CA 92867-5248
(714) 633-2225
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
19846
CA
Other
Enumeration date
10/29/2007
Last updated
06/02/2016
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