Dodge, Steven Charles

Dodge, Steven Charles is an sole proprietor health care provider with primary practice located at 213 Henderson Ave , Pass Christian MS 39571-4309. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Dodge, Steven Charles can be contacted via phone (228) 452-0707.

Contact Information

Primary practice address
213 Henderson Ave Pass Christian MS 39571-4309
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 925 Mississippi

Profile Details

NPI number 1891717120
LBN Legal business name Dodge, Steven Charles
Credentials BBA;MBA;DC;USN-CDR-R
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2006
Last updated Sep 17th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891717120 NPPES
Mississippi Other 640913280 CHIROPRACTOR
Mississippi MEDICAID N/A CHIROPRACTOR

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