Liston, Stephen Alan
Liston, Stephen Alan is an individual health care provider with primary practice located at 1316 Ne 99Th St , Vancouver WA 98665-8910. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Liston, Stephen Alan can be contacted via phone (360) 574-6594.Contact Information
Primary practice address
1316 Ne 99Th St
Vancouver WA 98665-8910
Phone: (360) 574-6594
Fax: (360) 574-2235
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH00003903 | Washington |
| Chiropractic Providers / Chiropractor | 111N00000X | 272945 | Oregon |
Profile Details
| NPI number | 1992790893 |
|---|---|
| LBN Legal business name | Liston, Stephen Alan |
| Credentials | D.C.,P.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992790893 | NPPES |
| Washington | Other | 49636 | LABOR & INDUSTRIES |
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