Provider Demographics
NPI:1548255094
Name:KAMEGO, STEVEN JOSEPH (DC)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:JOSEPH
Last Name:KAMEGO
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 1:1735 HECKLE BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-1885
Mailing Address - Country:US
Mailing Address - Phone:810-449-4485
Mailing Address - Fax:
Practice Address - Street 1:1735 HECKLE BLVD STE 103
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-1885
Practice Address - Country:US
Practice Address - Phone:810-449-4485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2007-07-09
Deactivation Date:2006-03-22
Deactivation Code:
Reactivation Date:2006-03-27
Provider Licenses
StateLicense IDTaxonomies
SC3127111NR0400X
MISK008803111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111NR0400XChiropractic ProvidersChiropractorRehabilitation
Not Answered111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4693510Medicaid
MI44-70211OtherPHP
MIM108803OtherCARECHOICE HMO
MI0999163OtherHEALTH PLUS OF MI
MI139430OtherPREFERRED CHOICE
MI1012482OtherHEALTH ADVANTAGE
MIP00180630OtherRAILROAD MEDICARE
MI0999163OtherHEALTH PLUS OF MI
MI139430OtherPREFERRED CHOICE