Individual
DR. STEPHEN F GEDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1504 N JEFFERSON ST, HUNTINGTON, IN 46750-1401
(260) 358-1111
(260) 358-4603
Mailing address
1504 N JEFFERSON ST, HUNTINGTON, IN 46750-1401
(260) 358-1111
(260) 358-4603
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001152
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000088068
ANTHEM/BLUE CROSS PROV #
IN
01
—
08001152
STATE LICENSE TO PRACTICE
IN
05
—
100138330A
—
IN
Enumeration date
07/02/2006
Last updated
01/26/2009
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