1023159399 NPI number — CHRISTINA M STEEVES ATC

Table of content: CHRISTINA M STEEVES ATC (NPI 1023159399)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023159399 NPI number — CHRISTINA M STEEVES ATC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STEEVES
Provider First Name:
CHRISTINA
Provider Middle Name:
M
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
ATC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023159399
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
888 BIGELOW HILL RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SKOWHEGAN
Provider Business Mailing Address State Name:
ME
Provider Business Mailing Address Postal Code:
04976-5237
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
207-634-3521
Provider Business Mailing Address Fax Number:
207-474-5262

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4460 MAYFLOWER HL
Provider Second Line Business Practice Location Address:
COLBY SPORTS MEDICINE
Provider Business Practice Location Address City Name:
WATERVILLE
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04901-8844
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-859-4970
Provider Business Practice Location Address Fax Number:
207-859-4971
Provider Enumeration Date:
02/09/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2255A2300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)