Provider Demographics
NPI:1568869774
Name:STEINBORN, SHAWN (NMD)
Entity Type:Individual
Prefix:DR
First Name:SHAWN
Middle Name:
Last Name:STEINBORN
Suffix:
Gender:M
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 E SOUTHERN AVE STE 7
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-5483
Mailing Address - Country:US
Mailing Address - Phone:520-775-0778
Mailing Address - Fax:
Practice Address - Street 1:2121 S MILL AVE STE 101
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-2106
Practice Address - Country:US
Practice Address - Phone:520-775-0778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-03
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ14-1467175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath