Provider Demographics
NPI:1386827533
Name:STEINBACH CHIROPRACTIC PC
Entity Type:Organization
Organization Name:STEINBACH CHIROPRACTIC PC
Other - Org Name:PEAK HEALTH CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:STEINBACH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:719-574-5500
Mailing Address - Street 1:805 N WEBER ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-2918
Mailing Address - Country:US
Mailing Address - Phone:719-574-5500
Mailing Address - Fax:719-471-9053
Practice Address - Street 1:805 N WEBER ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-2918
Practice Address - Country:US
Practice Address - Phone:719-574-5500
Practice Address - Fax:719-471-9053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-11
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4968111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO4968Medicare PIN