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Stephen Lewis Childress I, DC
Chiropractor in Lebanon, Virginia
NPI 1285684332

Stephen Lewis Childress I is a Chiropractor based in Lebanon, VA. Stephen Lewis Childress I practices in Lebanon, VA and has the professional credentials of DC. The NPI Number for Stephen Lewis Childress I is 1285684332 and holds a License No. 0104001354 (Virginia).

The current practice location address for Stephen Lewis Childress I is 619 W Main St Ste B, Lebanon, VA and can be reached out via phone at 276-889-1314 and via fax at 276-889-4125.

Location: 619 W Main St Ste B, Lebanon, VA, 24266
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285684332
Provider Name
Stephen Lewis Childress I
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
619 W Main St Ste B, Lebanon, VA, 24266
Phone Number
276-889-1314
Fax Number
276-889-4125
Provider Enumeration Date
05/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
236332 01 VA ANTHEM
0300608 05 VA
5010623 01 VA AETNA
institution
Provider Business Practice Location Address Details
Address
619 W Main St Ste B
City
Lebanon
State
Virginia
Zip
24266-3809
Phone Number
276-889-1314
Fax Number
276-889-4125
person
Provider Business Mailing Address Details
Address
619 W Main St Ste B
City
Lebanon
State
Virginia
Zip
24266-3809
Phone Number
276-889-1314
Fax Number
276-889-4125
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
0104001354 (Virginia)
Definition
A provider qualified by 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.
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