Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 12725 | CA |
NPI | 1821167610 |
---|---|
Provider Name | Dr. Steven Lee Katz |
First Address | Vineyard Haven, MA 02568-5695 |
Second Address | Mill Valley, CA 94941-3034 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2006 |
Last Update Date | 14/06/2019 |