Provider Demographics
NPI:1336811942
Name:STEIGNER, JACOB LEE (DC)
Entity Type:Individual
Prefix:
First Name:JACOB
Middle Name:LEE
Last Name:STEIGNER
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 1:6227 N RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:OH
Mailing Address - Zip Code:44057-2570
Mailing Address - Country:US
Mailing Address - Phone:440-428-2565
Mailing Address - Fax:440-417-0192
Practice Address - Street 1:6227 N RIDGE RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:OH
Practice Address - Zip Code:44057-2570
Practice Address - Country:US
Practice Address - Phone:440-428-2565
Practice Address - Fax:440-417-0192
Is Sole Proprietor?:No
Enumeration Date:2021-10-01
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC-05126111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor