Healthcare Provider Details

I. General information

NPI: 1578640702
Provider Name (Legal Business Name): STEVEN L OLFERT DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 11/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1926 11TH ST
REEDLEY CA
93654-2808
US

IV. Provider business mailing address

1926 11TH ST
REEDLEY CA
93654-2808
US

V. Phone/Fax

Practice location:
  • Phone: 559-638-2558
  • Fax: 559-638-8271
Mailing address:
  • Phone: 559-638-2558
  • Fax: 559-638-8271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License NumberDC14709
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: