Provider Demographics
NPI:1831138494
Name:STEELE, GERALD L (DC)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:L
Last Name:STEELE
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 1:1604 FORD AVE
Mailing Address - Street 2:SUITE 14
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95350-4631
Mailing Address - Country:US
Mailing Address - Phone:209-402-5815
Mailing Address - Fax:866-816-9522
Practice Address - Street 1:1604 FORD AVE
Practice Address - Street 2:SUITE 14
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350-4631
Practice Address - Country:US
Practice Address - Phone:209-402-5815
Practice Address - Fax:866-816-9522
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30116111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor