Steven J Blaut
Individual provider Active NPI Chiropractor · Morro Bay, CA
NPI 1124127782 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124127782
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 13458 (CA)
- Practice address
- 1052 Main St Ste B
Morro Bay, CA 93442-4004 - Phone
- (805) 772-4419
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13458 | CA | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 13458 | CA | Yes |
Addresses
Primary practice location
1052 Main St Ste B
Morro Bay, CA 93442-4004
Mailing address
2501 Koa Ave
Morro Bay, CA 93442-1707
Phone (805) 772-1467
Other providers in Morro Bay, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.