Doctor Name: | DR. THOMAS HALE STEVENS |
NPI Number: | 1659320778 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 08000795A |
Business Practice Address: | 903 Williams St Angola, IN - 467031167 |
Business Phone Number: | 2606659479 |
Business Fax Number: | 2606659470 |
Mailing Address: | 903 Williams St, ANGOLA |
State: | IN |
Postal Code: | 467031167 |
Phone Number: | 2606659479 |
Fax Number: | 2606659470 |
NPI Enumeration Date: | 05/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 08000795A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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. |