Provider Demographics
NPI:1295893576
Name:STEFFEY, ERIC CHARLES (DC)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:CHARLES
Last Name:STEFFEY
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 1:600 IRONWOOD DR SUITE E
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:IN
Mailing Address - Zip Code:46131-8324
Mailing Address - Country:US
Mailing Address - Phone:317-738-4346
Mailing Address - Fax:317-738-3156
Practice Address - Street 1:600 IRONWOOD DR SUITE E
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:IN
Practice Address - Zip Code:46131-8324
Practice Address - Country:US
Practice Address - Phone:317-738-4346
Practice Address - Fax:317-738-3156
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001007111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100193690Medicaid
IN595020Medicare ID - Type Unspecified