Dr. Jonathan Craig Stevens
Physical Medicine & Rehabilitation Doctor Neuromusculoskeletal Medicine (NMM)
105 Vermeer Dr Unit 1
Ponderay
, Idaho 83852-9802
Dr. Jonathan Craig Stevens
Physical Medicine & Rehabilitation Doctor Neuromusculoskeletal Medicine (NMM)
105 Vermeer Dr Unit 1
Ponderay
, Idaho 83852-9802
(208) 266-0440
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Dr. Jonathan Craig Stevens
- Po Box 353
- Clark Fork, ID
- Zip : 83811
- Fax : (208) 266-0440
- Phone : (208) 266-1677
Second Address
- Dr. Jonathan Craig Stevens
- 105 Vermeer Dr Unit 1
- Ponderay, ID
- Zip : 83852-9802
- Fax : (208) 266-0440
- Phone : (208) 266-1677
Reviews
FAQs
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Where is Dr. Jonathan Craig Stevens ’s practice located?
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Is Dr. Jonathan Craig Stevens a sole practitioner?
Is Dr. Jonathan Craig Stevens accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | M7507 | ID |
| N | 208100000X | Physical Medicine & Rehabilitation Doctor | M7507 | ID |
National Provider Identifier
| NPI | 1366495178 |
|---|---|
| Provider Name | Dr. Jonathan Craig Stevens |
| First Address | Clark Fork, ID 83811 |
| Second Address | Ponderay, ID 83852-9802 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/05/2006 |
| Last Update Date | 17/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 805192200 | (05) | ID |
| C61615 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.