Provider Demographics
NPI:1427023795
Name:STEINHARDT, JEFFREY MARC (DC)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:MARC
Last Name:STEINHARDT
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 1:2707 CONGRESS ST
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92110-2758
Mailing Address - Country:US
Mailing Address - Phone:619-234-2221
Mailing Address - Fax:619-234-9232
Practice Address - Street 1:2707 CONGRESS ST
Practice Address - Street 2:SUITE 2A
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92110-2758
Practice Address - Country:US
Practice Address - Phone:619-234-2221
Practice Address - Fax:619-234-9232
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-21
Last Update Date:2010-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC16214111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC16214Medicare ID - Type Unspecified