Individual
DR. JONATHAN CRAIG STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 VERMEER DR UNIT 1, PONDERAY, ID 83852-9802
(208) 266-1677
(208) 266-0440
Mailing address
PO BOX 353, CLARK FORK, ID 83811
(208) 266-1677
(208) 266-0440
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
M7507
ID
208100000X
Physical Medicine & Rehabilitation Physician
M7507
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805192200
—
ID
Enumeration date
05/19/2006
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us