Organization
ROBERT L. STEVENS D.C. INC.
Active
Other names
Cadiz Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MCDONNELL (MANAGER)
(630) 200-6494
Entity
Organization
Contact information
Practice address
109 E MARKET ST, CADIZ, OH 43907-1213
(740) 942-2290
(740) 942-2290
Mailing address
28803 DAHLIA DR NW, ISANTI, MN 55040-6331
(630) 200-6494
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026383
—
OH
01
—
565
HEALTH PLAN PROVIDER #
OH
Enumeration date
02/27/2017
Last updated
11/30/2023
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