Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 1585PT | MD |
NPI | 1003989468 |
---|---|
Provider Name | Dr. Steven Louis Silverston |
First Address | Ellicott City, MD 21043 |
Second Address | Ellicott City, MD 21043 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2006 |
Last Update Date | 30/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U47787 | (02) |