MEDICARE: STEVEN CLAUDE VISENTIN 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	1840	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477614816
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN CLAUDE VISENTIN DC

Provider Business Mailing Address
First Line	:	1411 KRAMERIA ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80220-2731
Country	:	US
Telephone Number	:	303-394-2273
Fax Number	:	303-394-2102

Provider Business Practice Location Address
First Line	:	1411 KRAMERIA ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80220-2731
Country	:	US
Telephone Number	:	303-394-2273
Fax Number	:	303-394-2102

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

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	04/10/2018

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Directions to “ STEVEN CLAUDE VISENTIN DC” Practice Location

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