Provider Demographics
NPI:1174553358
Name:FURJES, STEPHEN ARTHUR (DC)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:ARTHUR
Last Name:FURJES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 S 2ND ST
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63301-2809
Mailing Address - Country:US
Mailing Address - Phone:636-947-9111
Mailing Address - Fax:636-947-0781
Practice Address - Street 1:222 S 2ND ST
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63301-2809
Practice Address - Country:US
Practice Address - Phone:636-947-9111
Practice Address - Fax:636-947-0781
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2009-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOCEO3020111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO25125OtherCARPENTER
MO188175OtherGHP
MO21276OtherBC/BS
MO109366OtherHEALTHLINK
MO4400455OtherUNITED HEALTHCARE
MO25125OtherCARPENTER
MO188175OtherGHP
MO109366OtherHEALTHLINK