Provider Demographics
NPI:1619159837
Name:STEELE CHIROPRACTIC CENTER P.C.
Entity Type:Organization
Organization Name:STEELE CHIROPRACTIC CENTER P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LEIGH
Authorized Official - Middle Name:EDMUND
Authorized Official - Last Name:STEELE
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:610-841-3556
Mailing Address - Street 1:3556 HUCKLEBERRY RD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-9761
Mailing Address - Country:US
Mailing Address - Phone:610-730-0097
Mailing Address - Fax:
Practice Address - Street 1:3315 HAMILTON BLVD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-4536
Practice Address - Country:US
Practice Address - Phone:610-841-3556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-29
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009615111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1538274279OtherNPI INDIVIDUAL
PAV09206Medicare UPIN
PA100788Medicare PIN