Provider Demographics
NPI:1093766115
Name:STEINBROOK, SETH LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:SETH
Middle Name:LEE
Last Name:STEINBROOK
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 1:4140 N CENTRAL AVE
Mailing Address - Street 2:APARTMENT 1052
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-1830
Mailing Address - Country:US
Mailing Address - Phone:602-505-4573
Mailing Address - Fax:602-242-2370
Practice Address - Street 1:600 S DOBSON RD
Practice Address - Street 2:BLDG. E, STE 38
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-5678
Practice Address - Country:US
Practice Address - Phone:480-726-2250
Practice Address - Fax:480-855-6121
Is Sole Proprietor?:No
Enumeration Date:2006-05-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7696111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY6101701Medicare ID - Type UnspecifiedMEDICARE