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TRENTON STEVENS
>> Chiropractor >> Chiropractic ProvidersRegistrant NPI Number: 1538466818
Individual Registrant: TRENTON STEVENS
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
60 N CENTER ST WELLSVILLE, UT 84339-9412 US
Tel: 208-351-8329 Fax: --
Tel: 208-351-8329 Fax: --
Contact information for business:
PO BOX 335 WELLSVILLE, UT 84339-0335 US
Tel: 208-351-8329 Fax: --
Tel: 208-351-8329 Fax: --
Registration Information:
NPI: 1538466818
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractic Providers Chiropractor | UT | 7975292-1202 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
