Provider Demographics
NPI:1891793303
Name:TUSCHMAN, STEVEN G (DC)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:G
Last Name:TUSCHMAN
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:PO BOX 248
Mailing Address - Street 2:
Mailing Address - City:GRAETTINGER
Mailing Address - State:IA
Mailing Address - Zip Code:51342-0248
Mailing Address - Country:US
Mailing Address - Phone:712-859-3298
Mailing Address - Fax:712-859-3050
Practice Address - Street 1:202 W ROBINS ST
Practice Address - Street 2:
Practice Address - City:GRAETTINGER
Practice Address - State:IA
Practice Address - Zip Code:51342-0248
Practice Address - Country:US
Practice Address - Phone:712-859-3298
Practice Address - Fax:712-859-3050
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2008-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA05896111N00000X
MN5010111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0255745Medicaid
IA350053505Medicare ID - Type UnspecifiedGBA RAILROAD MEDICARE
IA0255745Medicaid