Provider Demographics
NPI:1184943292
Name:STEVES, HENRY (BS)
Entity type:Individual
Prefix:
First Name:HENRY
Middle Name:
Last Name:STEVES
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 334
Mailing Address - Street 2:
Mailing Address - City:KREBS
Mailing Address - State:OK
Mailing Address - Zip Code:74554-0334
Mailing Address - Country:US
Mailing Address - Phone:918-423-7008
Mailing Address - Fax:
Practice Address - Street 1:785 W WASHINGTON AVE.
Practice Address - Street 2:
Practice Address - City:KREBS
Practice Address - State:OK
Practice Address - Zip Code:74554-0334
Practice Address - Country:US
Practice Address - Phone:918-423-7008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-28
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator