Provider Demographics
NPI:1578724720
Name:GARY P STEINER
Entity Type:Organization
Organization Name:GARY P STEINER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:P
Authorized Official - Last Name:STEINER
Authorized Official - Suffix:
Authorized Official - Credentials:R EEG EP T RPSGT
Authorized Official - Phone:970-640-1650
Mailing Address - Street 1:2232 N 7TH ST
Mailing Address - Street 2:#4
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-7459
Mailing Address - Country:US
Mailing Address - Phone:970-640-1650
Mailing Address - Fax:970-257-1301
Practice Address - Street 1:2232 N 7TH ST
Practice Address - Street 2:#4
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-7454
Practice Address - Country:US
Practice Address - Phone:970-640-1650
Practice Address - Fax:970-257-1301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-20
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1930246ZE0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0500XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherEEGGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COP00258706OtherPALMETTO GBA
COY11919Medicare UPIN
COC535778Medicare PIN