Provider Demographics
NPI:1487003489
Name:STEFFENS, JOSEPH
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:STEFFENS
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 1:1440 ONEIDA ST
Mailing Address - Street 2:STE. N
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54915-7101
Mailing Address - Country:US
Mailing Address - Phone:920-731-9579
Mailing Address - Fax:920-968-3201
Practice Address - Street 1:1440 ONEIDA ST
Practice Address - Street 2:STE. N
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54915-7101
Practice Address - Country:US
Practice Address - Phone:920-731-9579
Practice Address - Fax:920-968-3201
Is Sole Proprietor?:No
Enumeration Date:2016-06-09
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1493-60237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist