MEDICARE: DR. CHRISTOPHE STEVENS 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	3640	NC

General Provider Information

NPI Number	:	1952456543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHE STEVENS D.C.

Provider Business Mailing Address
First Line	:	2805 FALLING LEAF CT
Second Line	:
City	:	MONROE
State	:	NC
Zip	:	28110-7724
Country	:	US
Telephone Number	:	704-218-6353
Fax Number	:

Provider Business Practice Location Address
First Line	:	3046 SENNA DR
Second Line	:
City	:	MATTHEWS
State	:	NC
Zip	:	28105-6726
Country	:	US
Telephone Number	:	704-844-2823
Fax Number	:	704-844-2749

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

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	10/27/2008

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