Individual
DR. STEPHEN ROBERT VANGIESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
808 W EHRINGHAUS STREET, ELIZABETH CITY, NC 27909
(252) 338-3206
(252) 338-6394
Mailing address
808 W EHRINGHAUS STREET, ELIZABETH CITY, NC 27909
(252) 338-3206
(252) 338-6394
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1224
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08885
SHP
NC
Enumeration date
08/31/2006
Last updated
10/31/2012
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