Provider Demographics
NPI:1730252164
Name:CARVIN, STEPHEN DANA (DC)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:DANA
Last Name:CARVIN
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 1:32145 ALVARADO NILES RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-2930
Mailing Address - Country:US
Mailing Address - Phone:510-471-1720
Mailing Address - Fax:877-871-7140
Practice Address - Street 1:32145 ALVARADO NILES RD
Practice Address - Street 2:SUITE 206
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587-2930
Practice Address - Country:US
Practice Address - Phone:510-471-1720
Practice Address - Fax:877-871-7140
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23614111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor