Eledge, Stephen S

Eledge, Stephen S is an individual health care provider with primary practice located at 2303 Ranch Road 620 S Ste 190 , Lakeway TX 78734-6232. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. Eledge, Stephen S can be contacted via phone (800) 404-6050.

Contact Information

Primary practice address
2303 Ranch Road 620 S Ste 190 Lakeway TX 78734-6232
Phone: (800) 404-6050
Fax: (866) 313-3397
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X 10686 Texas

Profile Details

NPI number 1174684005
LBN Legal business name Eledge, Stephen S
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Nov 30th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174684005 NPPES
Texas Other 10686 CHIROPRACTIC LICENSE
Texas Other 24803 CHIROPRACTIC LICENSE

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