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Contact Information

STEPHEN M WATERS, D.C.
974 ISABEL DR
LEBANON, PA17042-7482
 Phone: 717-277-0612
 Fax: 717-277-0613
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
 

Occupational Health

111NX0100X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for STEPHEN M WATERS · (Male)

NPI # 1902877293
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 01/27/2006
Last updated 12/21/2016 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # AJ-007292-L
  • PA License # DC-007292-L
  • PA Other 1033499 ASHN
  • PA Other 50013490 CAPITAL BLUE CROSS
  • PA Other 1696780 HIGHMARK BLUE SHIELD
  • PA Other 0763651000 INDEPENDENCE BLUE CROSS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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