Provider Demographics
NPI:1730298639
Name:STEINER, DOUGLAS HENRY (DC)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:HENRY
Last Name:STEINER
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 1:1626 E 1ST ST
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64468-3104
Mailing Address - Country:US
Mailing Address - Phone:660-582-8511
Mailing Address - Fax:660-582-8511
Practice Address - Street 1:1626 E 1ST ST
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:MO
Practice Address - Zip Code:64468-3104
Practice Address - Country:US
Practice Address - Phone:660-582-8511
Practice Address - Fax:660-582-8511
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO006710111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO670535OtherUNITED HEALTHCARE NO.
MO260265018OtherMO TAX ID
MO82760OtherCOVENTRY OF KS PROV. NO.
MO10001366300OtherCOMMUNITY HEALTH PLAN NO.
MO670535OtherUNITED HEALTHCARE NO.
MO82760OtherCOVENTRY OF KS PROV. NO.