Doctor Name: | DR. JASON MICHAEL STEPHENS |
NPI Number: | 1124189170 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | DC009706 |
Business Practice Address: | 401 Theatre Dr Johnstown, PA - 159042838 |
Business Phone Number: | 8142693116 |
Business Fax Number: | 8142668471 |
Mailing Address: | 48 Aspen Ct, CRESSON |
State: | PA |
Postal Code: | 166301850 |
Phone Number: | 8149372078 |
Fax Number: | |
NPI Enumeration Date: | 12/13/2006 |
NPI Last Update Date: | 08/16/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | DC009706 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |