Sidebottom, Steven Kim

Sidebottom, Steven Kim is an sole proprietor health care provider with primary practice located at 293 College Pkwy , Parkersburg WV 26104-7655. He recently has only one registered license in Chiropractic Providers / Internist, which is considered as his primary health care specialty. Sidebottom, Steven Kim can be contacted via phone (304) 485-1251.

Contact Information

Primary practice address
293 College Pkwy Parkersburg WV 26104-7655
Fax: (304) 485-0306
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Internist 111NI0900X 306 West Virginia

Profile Details

NPI number 1689789117
LBN Legal business name Sidebottom, Steven Kim
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2006
Last updated Nov 22nd, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689789117 NPPES
West Virginia MEDICAID 0131692000

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