Provider Demographics
NPI:1780858449
Name:STEUBER ENTERPRISE LTD
Entity Type:Organization
Organization Name:STEUBER ENTERPRISE LTD
Other - Org Name:STEUBER CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:STEUBER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:310-639-6741
Mailing Address - Street 1:3650 E IMPERIAL HWY
Mailing Address - Street 2:
Mailing Address - City:LYNWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90262-2653
Mailing Address - Country:US
Mailing Address - Phone:310-639-6741
Mailing Address - Fax:310-639-3141
Practice Address - Street 1:3650 E IMPERIAL HWY
Practice Address - Street 2:
Practice Address - City:LYNWOOD
Practice Address - State:CA
Practice Address - Zip Code:90262-2653
Practice Address - Country:US
Practice Address - Phone:310-639-6741
Practice Address - Fax:310-639-3141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC16541261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty