Provider Demographics
NPI:1558435487
Name:RACHELLE STEINER, M.D.
Entity Type:Organization
Organization Name:RACHELLE STEINER, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RACHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEINER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:765-883-7873
Mailing Address - Street 1:5282 W 250 S
Mailing Address - Street 2:
Mailing Address - City:RUSSIAVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46979-9412
Mailing Address - Country:US
Mailing Address - Phone:765-883-7873
Mailing Address - Fax:765-883-7714
Practice Address - Street 1:5282 W 250 S
Practice Address - Street 2:
Practice Address - City:RUSSIAVILLE
Practice Address - State:IN
Practice Address - Zip Code:46979-9412
Practice Address - Country:US
Practice Address - Phone:765-883-7873
Practice Address - Fax:765-883-7714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN233100Medicare ID - Type Unspecified