Provider Demographics
NPI:1659964930
Name:STEINER, COURTNEY DIANE
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:DIANE
Last Name:STEINER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 DODGE ST
Mailing Address - Street 2:
Mailing Address - City:SWANTON
Mailing Address - State:OH
Mailing Address - Zip Code:43558-1258
Mailing Address - Country:US
Mailing Address - Phone:419-377-8796
Mailing Address - Fax:
Practice Address - Street 1:1915 S BERKEY SOUTHERN RD
Practice Address - Street 2:
Practice Address - City:SWANTON
Practice Address - State:OH
Practice Address - Zip Code:43558-8748
Practice Address - Country:US
Practice Address - Phone:419-377-8796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-17
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care