NPI 1003076464

Jamie Devon Stephens, DC

Practitioner Chiropractor Mattoon, IL

Practice location

Address: 801 Broadway Ave, Mattoon, IL 61938-4211
Phone: (217) 234-2800

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 038011188 (IL)

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Registry record

NPI: 1003076464
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jun 2008
Record last updated: 18 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.