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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