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General NPI Number Information
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NPI Number | 1609924000
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Entity Type | Individual
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Provider Name | TRAVIS JASON STEEVER DC
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Gender | Male
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 10/12/2007
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Provider Practice Location Address
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Address Line | 5124 S WESTERN AVE SUITE 1
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City | SIOUX FALLS
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State | SD
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Zip | 57108
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Country | US
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Telephone | 605-339-3300
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Fax | 605-339-8880
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Provider Business Mailing Address
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Address Line | 5124 S WESTERN AVE SUITE 1
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City | SIOUX FALLS
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State | SD
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Zip | 57108
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Country | US
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Telephone | 605-339-3300
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Fax | 605-339-8880
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1008
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License Number State | SD
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Legacy Identifiers
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Identifier #1
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Identifier Code | 4996015
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Identifier Type | OTHER
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Identifier State |
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Identifier Issuer | WELLMARK BLUE CROSS BLUE
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Identifier #2
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Identifier Code | 7601710
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Identifier Type | MEDICAID
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Identifier State | SD
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Identifier Issuer |
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Proprietary Identifiers Ever Reported
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Identifier #1
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Identifier Code | 4996015
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Identifier Type | OTHER
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Identifier State |
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Identifier Issuer | WELLMARK BLUE CROSS BLUE
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Identifier #2
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Identifier Code | 7601710
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Identifier Type | MEDICAID
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Identifier State | SD
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Identifier Issuer |
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