Provider Demographics
NPI:1932145885
Name:STEINHOFF, TERRANCE LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:TERRANCE
Middle Name:LEE
Last Name:STEINHOFF
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 33
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:WA
Mailing Address - Zip Code:99328-0033
Mailing Address - Country:US
Mailing Address - Phone:509-382-4207
Mailing Address - Fax:509-382-1922
Practice Address - Street 1:1002 S 3RD ST
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:WA
Practice Address - Zip Code:99328-1606
Practice Address - Country:US
Practice Address - Phone:509-382-4207
Practice Address - Fax:509-382-1922
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-21
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00001150111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA600 467 972 000OtherUNIF. BUSINESS IDENTIFIER
WA600 467 972 000OtherUNIF. BUSINESS IDENTIFIER