Provider Demographics
NPI:1326181959
Name:STEINBACH, TAMARA M (DC)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:M
Last Name:STEINBACH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:TAMARA
Other - Middle Name:M
Other - Last Name:STEINBACH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:620 S CASCADE AVE
Mailing Address - Street 2:STE B
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-4039
Mailing Address - Country:US
Mailing Address - Phone:719-574-5500
Mailing Address - Fax:719-471-9053
Practice Address - Street 1:620 S CASCADE AVE
Practice Address - Street 2:STE. B
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-4039
Practice Address - Country:US
Practice Address - Phone:719-574-5500
Practice Address - Fax:719-471-9053
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4968111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC44553Medicare ID - Type Unspecified