Provider Demographics
NPI:1578741815
Name:STEINER, JEREMY (MD, CA, LAC)
Entity Type:Individual
Prefix:MR
First Name:JEREMY
Middle Name:
Last Name:STEINER
Suffix:
Gender:M
Credentials:MD, CA, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 NEW YORK AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830-5227
Mailing Address - Country:US
Mailing Address - Phone:973-876-8025
Mailing Address - Fax:
Practice Address - Street 1:200 NEW YORK AVE STE 150
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-5227
Practice Address - Country:US
Practice Address - Phone:973-876-8025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-08
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00059600171100000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No171100000XOther Service ProvidersAcupuncturist