Provider Demographics
NPI:1619008356
Name:STEIGERWALT, THOMAS MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:MICHAEL
Last Name:STEIGERWALT
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 1:2100 CENTER RD
Mailing Address - Street 2:SUITE K
Mailing Address - City:AVON
Mailing Address - State:OH
Mailing Address - Zip Code:44011-1891
Mailing Address - Country:US
Mailing Address - Phone:440-934-2335
Mailing Address - Fax:
Practice Address - Street 1:2100 CENTER RD
Practice Address - Street 2:SUITE K
Practice Address - City:AVON
Practice Address - State:OH
Practice Address - Zip Code:44011-1891
Practice Address - Country:US
Practice Address - Phone:440-934-2335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3557111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2530934Medicaid
OH2530934Medicaid