Individual
DR. THOMAS HALE STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
903 WILLIAMS ST, ANGOLA, IN 46703-1167
(260) 665-9479
(260) 665-9470
Mailing address
903 WILLIAMS ST, ANGOLA, IN 46703-1167
(260) 665-9479
(260) 665-9470
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08000795A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000079425
ANTHEM BCBS
IN
05
—
100225560
—
IN
05
—
1838561
—
MI
Enumeration date
05/08/2006
Last updated
07/08/2007
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