Stephen Lewis Childress I is a Lebanon, Virginia based male chiropractor who is specialized as General Chiropractor. Active license number of Stephen Lewis Childress I as General Chiropractor is 0104001354 in Virginia. Stephen Lewis Childress I is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Stephen Lewis Childress I speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
DC
Gender:
Male
Practice Address:
619 W Main St Ste B, Lebanon, Virginia, 24266-3809
Phone:
276-889-1314
Fax:
276-889-4125
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1285684332
NPI Enumeration Date:
11 May, 2006
NPI Last Update On:
05 May, 2017
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stephen Lewis Childress I are as mentioned below.
License Number
Specialization
State
Status
0104001354
Chiropractor
Virginia
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Stephen Lewis Childress I such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
236332
Other
Virginia
ANTHEM
0300608
Medicaid
Virginia
5010623
Other
Virginia
AETNA
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 1300, 307 W Main Street Lebanon, Virginia
Zip:
24266
Phone Number:
276-889-2200
Fax Number:
276-889-2202
Patients can reach Stephen Lewis Childress I at 619 W Main St Ste B, Lebanon, Virginia or can call to book an appointment on 276-889-1314. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.