Provider Demographics
NPI:1043240112
Name:STEINECKECHRISTOFFERSON, JULIE LYNN (DC)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:LYNN
Last Name:STEINECKECHRISTOFFERSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9222 LEE HWY STE F
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-8872
Mailing Address - Country:US
Mailing Address - Phone:423-238-6464
Mailing Address - Fax:423-238-6465
Practice Address - Street 1:9222 LEE HWY STE F
Practice Address - Street 2:
Practice Address - City:OOLTEWAH
Practice Address - State:TN
Practice Address - Zip Code:37363-8872
Practice Address - Country:US
Practice Address - Phone:423-238-6464
Practice Address - Fax:423-238-6465
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC0000001069111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0246606OtherCIGNA
TN3676741Medicaid
TN44-40038-3OtherUNITED HEALTH CARE
TN3040292OtherBLUE CROSS BLUE SHIELD
TNU42647Medicare UPIN
TN3676741Medicare ID - Type Unspecified