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Individual

STEVEN FREDERICK POIRIER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
640 INDUSTRIAL PKWY, ELKHART, IN 46516-5414
(574) 522-7203
(574) 522-7405
Mailing address
640 INDUSTRIAL PKWY, ELKHART, IN 46516-5414
(574) 522-7203
(574) 522-7405

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002151A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000339441
BLUE CROSS/BLUE SHIELD
IN
01
P00136654
RAILROAD MEDICARE
IN
Enumeration date
06/24/2005
Last updated
07/08/2007
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