Provider Demographics
NPI:1558341461
Name:STEINHARDT, JOAN E (PAC)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:E
Last Name:STEINHARDT
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3105 LIMESTONE RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-2147
Mailing Address - Country:US
Mailing Address - Phone:302-633-1700
Mailing Address - Fax:302-998-3226
Practice Address - Street 1:3105 LIMESTONE RD
Practice Address - Street 2:SUITE 301
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-2147
Practice Address - Country:US
Practice Address - Phone:302-633-1700
Practice Address - Fax:302-998-3226
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC50000155363A00000X
363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE000554843Medicaid
DE000554843Medicaid
DE000554843Medicaid