Provider Demographics
NPI:1922382753
Name:STEPHEN POBST DC PLLC
Entity type:Organization
Organization Name:STEPHEN POBST DC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:G
Authorized Official - Last Name:POBST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-451-2728
Mailing Address - Street 1:2000 GRASMERE DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40205-1508
Mailing Address - Country:US
Mailing Address - Phone:502-451-2728
Mailing Address - Fax:502-451-2730
Practice Address - Street 1:2000 GRASMERE DR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40205-1508
Practice Address - Country:US
Practice Address - Phone:502-451-2728
Practice Address - Fax:502-451-2730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-28
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty