Provider Demographics
NPI:1922036284
Name:STEINBAR, BRANDON P (DC)
Entity Type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:P
Last Name:STEINBAR
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 1:604 SOLAREX CT STE 101
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21703-7005
Mailing Address - Country:US
Mailing Address - Phone:301-620-1008
Mailing Address - Fax:301-620-1009
Practice Address - Street 1:604 SOLAREX CT STE 101
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21703-7005
Practice Address - Country:US
Practice Address - Phone:301-620-1008
Practice Address - Fax:301-620-1009
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS02182111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD62201701OtherBCBS RENDERING
MD185AOtherBCBS
DCJ473-0002OtherBCBS
MDP00115547OtherMEDICARE RAILROAD CARRIER
MD7335426OtherMAMSI
MD7335426OtherMAMSI
MDP00115547OtherMEDICARE RAILROAD CARRIER