Provider Demographics
NPI:1700973294
Name:MUELLER, STEVEN ALLAN
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:ALLAN
Last Name:MUELLER
Suffix:
Gender:M
Credentials:
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 571
Mailing Address - Street 2:
Mailing Address - City:ALGONA
Mailing Address - State:IA
Mailing Address - Zip Code:50511
Mailing Address - Country:US
Mailing Address - Phone:515-295-9414
Mailing Address - Fax:515-295-3407
Practice Address - Street 1:112 S DODGE
Practice Address - Street 2:
Practice Address - City:ALGONA
Practice Address - State:IA
Practice Address - Zip Code:50511
Practice Address - Country:US
Practice Address - Phone:515-295-9414
Practice Address - Fax:515-295-3407
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA04780111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0182386Medicaid
IA421159302OtherCOMMERCIAL INSURANCES
IA182338Medicare ID - Type Unspecified
IA0182386Medicaid