STEPHEN MICHAEL WATERS D.C. NPI 1902877293

NPI Information

  • NPI: 1902877293
  • Provider Name: STEPHEN MICHAEL WATERS, D.C.
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 974 ISABEL DR
    LEBANON, PA
    ZIP 17042
  • Phone: (717) 277-0612

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NPI Details

Stephen Michael Waters, D.C. is a chiropractor in Lebanon, PA with 28 years of experience. The provider is 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. Stephen Michael Waters, D.C. NPI is 1902877293. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LIFE CHIROPRACTIC COLLEGE
Graduation Year:1998

The provider's business location address is:

974 ISABEL DR
LEBANON, PA
ZIP 17042-482
Phone: (717) 277-0612
Fax: (717) 277-0613

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Chiropractic manipulative treatment, 5 spinal regions (HCPCS:98942)

The enumeration date for this NPI number is 1/27/2006 and was last updated on 12/21/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorDC-007292-LPENNSYLVANIAYes
2111NX0100XChiropractorOccupational HealthAJ-007292-LPENNSYLVANIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U73946MEDICARE UPINPENNSYLVANIA
250013490OTHERPENNSYLVANIACAPITAL BLUE CROSS
31696780OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
4022829MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
51033499OTHERPENNSYLVANIAASHN
60763651000OTHERPENNSYLVANIAINDEPENDENCE BLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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