Provider Demographics
NPI:1619192275
Name:STEIN CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:STEIN CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TORSTEN
Authorized Official - Middle Name:ROLF
Authorized Official - Last Name:STEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:623-521-3981
Mailing Address - Street 1:19420 N 59TH AVE
Mailing Address - Street 2:STE H810
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-6894
Mailing Address - Country:US
Mailing Address - Phone:623-215-3791
Mailing Address - Fax:
Practice Address - Street 1:19420 N 59TH AVE
Practice Address - Street 2:STE H810
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-6894
Practice Address - Country:US
Practice Address - Phone:623-215-3791
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2009-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7206111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZP00293282OtherRAILROAD MEDICARE
AZAZ0196170OtherBLUE CROSS BLUE SHIELD
AZAZ0196170OtherBLUE CROSS BLUE SHIELD
AZU90431Medicare UPIN