Provider Demographics
NPI:1326382961
Name:STEINER CHIROPRACTIC, P.C.
Entity Type:Organization
Organization Name:STEINER CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:A
Authorized Official - Last Name:STEINER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:605-224-1629
Mailing Address - Street 1:110 W DAKOTA AVE
Mailing Address - Street 2:
Mailing Address - City:PIERRE
Mailing Address - State:SD
Mailing Address - Zip Code:57501-2413
Mailing Address - Country:US
Mailing Address - Phone:605-224-1629
Mailing Address - Fax:
Practice Address - Street 1:110 W DAKOTA AVE
Practice Address - Street 2:
Practice Address - City:PIERRE
Practice Address - State:SD
Practice Address - Zip Code:57501-2413
Practice Address - Country:US
Practice Address - Phone:605-224-1629
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-20
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD631111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD00086506OtherBCBS
SD00086506OtherBCBS