MEDICARE: STEPHEN MICHAEL WATERS D.C.

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	DC-007292-L	PA
2	111NX0100X	Occupational Health Chiropractor	AJ-007292-L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0763651000	OTHER	PA	INDEPENDENCE BLUE CROSS
2	1033499	OTHER	PA	ASHN
3	50013490	OTHER	PA	CAPITAL BLUE CROSS
4	1696780	OTHER	PA	HIGHMARK BLUE SHIELD

General Provider Information

NPI Number	:	1902877293
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN MICHAEL WATERS D.C.

Provider Business Mailing Address
First Line	:	974 ISABEL DR
Second Line	:
City	:	LEBANON
State	:	PA
Zip	:	17042-7482
Country	:	US
Telephone Number	:	717-277-0612
Fax Number	:	717-277-0613

Provider Business Practice Location Address
First Line	:	974 ISABEL DR
Second Line	:
City	:	LEBANON
State	:	PA
Zip	:	17042-7482
Country	:	US
Telephone Number	:	717-277-0612
Fax Number	:	717-277-0613

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

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	12/21/2016

Similar Medicare Providers

1982536678 — SUAD AKRAM
Practice Location Address:

974 ISABEL DR
LEBANON, PA
17042-7482

Practice Phone: 717-297-7900
Practice Fax: 717-376-7323

1164414678 — DR. DAVID PAUL DEYSHER D.O.
Practice Location Address:

954 ISABEL DR
LEBANON, PA
17042-7482

Practice Phone: 717-376-1180
Practice Fax: 717-273-6937

1669440186 — DR. PREMNATH NARAHARI MD
Practice Location Address:

954 ISABEL DR
LEBANON, PA
17042-7482

Practice Phone: 717-376-1180
Practice Fax: 717-273-6937

1952360232 — SHAWNE D. DIAZ LPC
Practice Location Address:

964 ISABEL DR
LEBANON, PA
17042-7482

Practice Phone: 717-274-9777
Practice Fax: 717-274-9815

1770546285 — GSH URGENT CARE, INC
Practice Location Address:

956 ISABEL DR
LEBANON, PA
17042-7482

Practice Phone: 717-270-5677
Practice Fax: 717-274-1858

1013929694 — BEN Z ROITBERG MD
Practice Location Address:

956 ISABEL DR
LEBANON, PA
17042-7482

Practice Phone: 717-639-2255
Practice Fax: 717-675-2583

Directions to “ STEPHEN MICHAEL WATERS D.C.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.