Provider Demographics
NPI:1366650145
Name:STEELE, CRAIG A
Entity Type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:A
Last Name:STEELE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:812 RIVANNA RIVER REACH
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-9234
Mailing Address - Country:US
Mailing Address - Phone:757-445-4571
Mailing Address - Fax:
Practice Address - Street 1:812 RIVANNA RIVER REACH
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-9234
Practice Address - Country:US
Practice Address - Phone:757-445-4571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman