Provider Demographics
NPI:1265430987
Name:STEIN, TORSTEN ROLF (DC)
Entity type:Individual
Prefix:DR
First Name:TORSTEN
Middle Name:ROLF
Last Name:STEIN
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 1:19420 N 59TH AVE
Mailing Address - Street 2:STE H810
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-6894
Mailing Address - Country:US
Mailing Address - Phone:623-521-3981
Mailing Address - Fax:
Practice Address - Street 1:19420 N 59TH AVE
Practice Address - Street 2:STE H810
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-6894
Practice Address - Country:US
Practice Address - Phone:623-521-3981
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2009-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7206111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0196170OtherBLUE CROSS BLUE SHIELD
AZP00293282OtherRAILROAD MEDICARE
AZZ107195Medicare PIN
AZP00293282OtherRAILROAD MEDICARE