MEDICARE: STEPHEN L NIELSON DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	968	AZ

General Provider Information

NPI Number	:	1245283910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN L NIELSON DC

Provider Business Mailing Address
First Line	:	7333 E THOMAS RD
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-7215
Country	:	US
Telephone Number	:	480-941-2909
Fax Number	:	480-994-9915

Provider Business Practice Location Address
First Line	:	7333 E THOMAS RD
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-7215
Country	:	US
Telephone Number	:	480-941-2909
Fax Number	:	480-994-9915

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	04/24/2017

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Directions to “ STEPHEN L NIELSON DC” Practice Location

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