Provider Demographics
NPI:1093015760
Name:STEEL, JACKIE (DC)
Entity Type:Individual
Prefix:DR
First Name:JACKIE
Middle Name:
Last Name:STEEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:JACQUALINE
Other - Middle Name:
Other - Last Name:STEEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:1043 STUART ST
Mailing Address - Street 2:STE 100
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-4063
Mailing Address - Country:US
Mailing Address - Phone:925-284-5581
Mailing Address - Fax:
Practice Address - Street 1:1043 STUART ST
Practice Address - Street 2:STE 100
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-4063
Practice Address - Country:US
Practice Address - Phone:925-284-5581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-28
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-31733111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor