STEPHEN LEWIS CHILDRESS I (NPI# 1285684332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285684332 |
| Entity Type | Individual |
| Full Name | STEPHEN LEWIS CHILDRESS I |
| Credential | DC |
| Practice Address |
619 W Main St Ste B Lebanon VA 24266-3809 |
| Mailing Address |
Po Box 1300 307 W Main Street Lebanon VA 24266 |
| Practice Telephone | 2768891314 |
| Practice Fax Number | 2768894125 |
| Mailing Telephone | 2768892200 |
| Mailing Fax Number | 2768892202 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2017-05-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 0104001354 | VA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 0300608 | 05 | |
| VA | ANTHEM | 236332 | 01 |
| VA | AETNA | 5010623 | 01 |
| Street Address |
619 W MAIN ST STE B |
| City | LEBANON |
| State | VA |
| Zip Code | 24266-3809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134159924 | Childress Chiropractic, Spinal Rehab & Wellness | Chiropractor | 619 W Main St Ste B, Lebanon, VA 24266-3809 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541174 | Nextdoor Drug | Pharmacist | 932 W Main St, Lebanon, VA 24266 | 2020-06-04 |
| 1720638661 | Advanced Practice Primary Care, Pllc | Nurse Practitioner | 2336 Coal Tipple Hollow, Lebanon, VA 24266 | 2019-09-12 |
| 1962051763 | Best Life Physical Therapy Inc. | Physical Therapist | 383 Technology Park Drive, Lebanon, VA 24266 | 2019-09-05 |
| 1093361024 | Alexis Rae Carson | Psychologist | 84 Dr Lorraine C. Turner Dr. Russell County Public Scho, Lebanon, VA 24266 | 2019-08-15 |
| 1457821019 | Blue Ridge Medical Management Corporation | Internal Medicine | 71 S Flannagan Ave Suite 81, Lebanon, VA 24266 | 2018-11-27 |
| 1457867202 | Elizabeth Altizer Baker | Speech-Language Pathologist | 84 Lorraine C. Turner Dr., Russell County Public Schools, Lebanon, VA 24266 | 2017-12-15 |
| 1851805683 | Laura Hankins Vencill | Speech-Language Pathologist | Russell County Public Schools, 84 Lorraine C. Turner Dr., Lebanon, VA 24266 | 2017-12-01 |
| 1487168670 | Stacy Nichole Davis | Counselor | 78 Rogers St, Lebanon, VA 24266 | 2017-11-27 |
| 1568976751 | Kelly Elizabeth Smith | Counselor | 216 Gilmer Street, Lebanon, VA 24266 | 2017-11-27 |
| 1659883312 | Sara K Poole | Occupational Therapist | 408 Fields Ave., Lebanon, VA 24266 | 2017-11-02 |
| Find all providers in zip 24266 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351698 | Comforting Hands Chiropractic LLC | Chiropractor | 1151 Cornwall Rd Ste 5, Lebanon, PA 17042-7233 | 2020-09-22 |
| 1821637026 | Molly Anna Pepin | Chiropractor | 103 Hanover St Ste 14, Lebanon, NH 03766-1098 | 2020-01-06 |
| 1508222068 | Margaret Swick | Chiropractor | 291 N Adams Ave, Lebanon, MO 65536-3045 | 2016-01-13 |
| 1750759684 | Crv Sport and Spine | Chiropractor | 103 Hanover St Ste 17, Lebanon, NH 03766-1098 | 2015-09-09 |
| 1700208212 | Lebanon Chiropractic Center | Chiropractor | 2234 Cumberland St, Lebanon, PA 17042-2583 | 2014-01-17 |
| 1356613384 | Center for Natural Health and Rehabilitation Inc | Chiropractor | 1386 Us Highway 22, Lebanon, NJ 08833-2205 | 2012-02-07 |
| 1497086953 | Tony Dejtiranukul | Chiropractor | 990 Belvedere Dr Ste B, Lebanon, OH 45036-1193 | 2010-01-23 |
| 1184855637 | Ronald Gary Clibborn | Chiropractor | 75 E Oak St, Lebanon, OR 97355-3223 | 2009-07-31 |
| 1912148982 | Susan K Kellogg | Chiropractor | 37 Bank St, Lebanon, NH 03766-1703 | 2009-03-20 |
| 1497902613 | Douglas Willen | Chiropractor | 1 Split Rail Ct, Lebanon, NJ 08833-3248 | 2008-08-19 |
| Find all providers in LEBANON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.