Stephens, Jamie Devon

Stephens, Jamie Devon is an individual health care provider with primary practice located at 801 Broadway Ave , Mattoon IL 61938-4211. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Stephens, Jamie Devon can be contacted via phone (217) 234-2800.

Contact Information

Primary practice address
801 Broadway Ave Mattoon IL 61938-4211
Phone: (217) 234-2800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038011188 Illinois

Profile Details

NPI number 1003076464
LBN Legal business name Stephens, Jamie Devon
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2008
Last updated Feb 18th, 2022 - about 4 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 1003076464 NPPES
Illinois Other 038011188 CHIROPRACTOR LICENSE

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