Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC14371 | CA |
N | 111NI0013X | Independent Medical Examiner | DC14371 | CA |
N | 111NX0800X | Chiropractor Orthopedic Specialist | DC14371 | CA |
NPI | 1902138118 |
---|---|
Provider Name | Stephen Mills Foreman |
First Address | West Hills, CA 91307 |
Second Address | West Hills, CA 91307 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2010 |
Last Update Date | 12/02/2010 |