Stephen F Geders, D.C.
Individual provider Active NPI Chiropractor · Huntington, IN
NPI 1497784367 · NPPES record last updated Jan 26, 2009
Key facts
- NPI
- 1497784367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 08001152 (IN)
- Practice address
- 1504 N Jefferson St
Huntington, IN 46750-1401 - Phone
- (260) 358-1111
- Fax
- (260) 358-4603
- NPI assigned
- Jul 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08001152 | IN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue River Counseling LLC | Current |
Accepting new patients |
Locations
1504 N Jefferson St
Huntington, IN 46750
Phone (260) 268-0010
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08001152 | IN | Yes |
Addresses
Primary practice location
1504 N Jefferson St
Huntington, IN 46750-1401
Mailing address
1504 N Jefferson St
Huntington, IN 46750-1401
Phone (260) 358-1111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000088068 | Other | IN | ANTHEM/BLUE CROSS PROV # |
| 100138330A | Medicaid | IN | |
| 08001152 | Other | IN | STATE LICENSE TO PRACTICE |
Other providers in Huntington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2009. 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.