Provider Demographics
NPI:1558991521
Name:STECK, VON JAMES (DC)
Entity Type:Individual
Prefix:
First Name:VON
Middle Name:JAMES
Last Name:STECK
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 1:1605 SE DELAWARE AVE
Mailing Address - Street 2:STE D
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50021-4595
Mailing Address - Country:US
Mailing Address - Phone:515-777-1104
Mailing Address - Fax:
Practice Address - Street 1:1605 SE DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50021-4594
Practice Address - Country:US
Practice Address - Phone:515-777-1104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-18
Last Update Date:2020-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA099060111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor