Provider Demographics
NPI:1679602270
Name:RINDAL, STEVEN M (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:M
Last Name:RINDAL
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 1:929 E COLLEGE WAY
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98273-5627
Mailing Address - Country:US
Mailing Address - Phone:360-424-1066
Mailing Address - Fax:
Practice Address - Street 1:929 E COLLEGE WAY
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-5627
Practice Address - Country:US
Practice Address - Phone:360-424-1066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA920111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA135614OtherLABOR & INDUSTRIES
WA05736OtherREGENCE BLUE CROSS
WA8932588OtherCRIME VICTIMS FUND
WA350050560OtherRAILROAD MEDICARE
WA135614OtherLABOR & INDUSTRIES