Stevens, Dee Scott

Stevens, Dee Scott is an sole proprietor health care provider with primary practice located at 725 Jensen Grove Dr , Blackfoot ID 83221-1636. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Stevens, Dee Scott can be contacted via phone (208) 785-0270.

Contact Information

Primary practice address
725 Jensen Grove Dr Blackfoot ID 83221-1636
Fax: (208) 785-0683
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CHIA-1502 Idaho

Profile Details

NPI number 1962456681
LBN Legal business name Stevens, Dee Scott
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2006
Last updated Dec 7th, 2016 - about 10 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 1962456681 NPPES
Idaho Other 471931437 TAX ID
Idaho Other ZIR91475 TAX ID

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