Provider Demographics
NPI:1942301585
Name:VIKE-STEINICH, KRISTIN MARIE (DC)
Entity Type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:MARIE
Last Name:VIKE-STEINICH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MS
Other - First Name:KRISTIN
Other - Middle Name:MARIE
Other - Last Name:VIKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:320 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT HOREB
Mailing Address - State:WI
Mailing Address - Zip Code:53572-1917
Mailing Address - Country:US
Mailing Address - Phone:608-437-2222
Mailing Address - Fax:608-437-7463
Practice Address - Street 1:320 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MOUNT HOREB
Practice Address - State:WI
Practice Address - Zip Code:53572-1917
Practice Address - Country:US
Practice Address - Phone:608-437-2222
Practice Address - Fax:608-437-7463
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4258111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor