Waters, Stephen Michael

Waters, Stephen Michael is an sole proprietor health care provider with primary practice located at 974 Isabel Dr , Lebanon PA 17042-7482. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Occupational Health. Chiropractic Providers / Chiropractor is his primary health care specialty. Waters, Stephen Michael can be contacted via phone (717) 277-0612.

Contact Information

Primary practice address
974 Isabel Dr Lebanon PA 17042-7482
Phone: (717) 277-0612
Fax: (717) 277-0613
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC-007292-L Pennsylvania
Chiropractic Providers / Occupational Health 111NX0100X AJ-007292-L Pennsylvania

Profile Details

NPI number 1902877293
LBN Legal business name Waters, Stephen Michael
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2006
Last updated Dec 21st, 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 1902877293 NPPES
Pennsylvania Other 0763651000 INDEPENDENCE BLUE CROSS
Pennsylvania Other 1033499 INDEPENDENCE BLUE CROSS
Pennsylvania Other 50013490 INDEPENDENCE BLUE CROSS
Pennsylvania Other 1696780 INDEPENDENCE BLUE CROSS

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