Provider Demographics
NPI:1104016013
Name:STEIN, PETER H (DC)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:H
Last Name:STEIN
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 1:4790 FINLAY ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23231-2854
Mailing Address - Country:US
Mailing Address - Phone:804-226-2225
Mailing Address - Fax:804-226-2227
Practice Address - Street 1:4790 FINLAY ST
Practice Address - Street 2:SUITE 2
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23231-2854
Practice Address - Country:US
Practice Address - Phone:804-226-2225
Practice Address - Fax:804-226-2227
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000539111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor