Provider Demographics
NPI:1063618452
Name:ANGLE, STEVEN F (DC)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:F
Last Name:ANGLE
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 1:4049 WHITE OAK TRACE DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70817-1622
Mailing Address - Country:US
Mailing Address - Phone:225-755-5779
Mailing Address - Fax:225-755-5779
Practice Address - Street 1:311 E AIRPORT AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-4840
Practice Address - Country:US
Practice Address - Phone:225-926-2273
Practice Address - Fax:225-926-2273
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA935111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor