Provider Demographics
NPI:1477611085
Name:STEINBERG, DAVID N (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:N
Last Name:STEINBERG
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:PO BOX 912
Mailing Address - Street 2:
Mailing Address - City:HEBRON
Mailing Address - State:CT
Mailing Address - Zip Code:06248-0912
Mailing Address - Country:US
Mailing Address - Phone:860-228-4944
Mailing Address - Fax:860-228-8235
Practice Address - Street 1:23 LIBERTY DR
Practice Address - Street 2:SUITE B
Practice Address - City:HEBRON
Practice Address - State:CT
Practice Address - Zip Code:06248-1553
Practice Address - Country:US
Practice Address - Phone:860-228-4944
Practice Address - Fax:860-228-8235
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001338111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004208907Medicaid
CT350001085Medicare ID - Type Unspecified
CT004208907Medicaid