1487603775 NPI number — DR. STEVEN W TEUFEL D.C.

Table of content: DR. STEVEN W TEUFEL D.C. (NPI 1487603775)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487603775 NPI number — DR. STEVEN W TEUFEL D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TEUFEL
Provider First Name:
STEVEN
Provider Middle Name:
W
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
Provider Gender Code:
M

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:
1487603775
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:
280 GENERAL MITCHELL LN
Provider Second Line Business Mailing Address:
#67
Provider Business Mailing Address City Name:
FORT MITCHELL
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
41017-2789
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
859-466-3318
Provider Business Mailing Address Fax Number:
859-578-9666

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2511 CHELSEA DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FORT MITCHELL
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41017-1701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-578-8666
Provider Business Practice Location Address Fax Number:
859-578-9666
Provider Enumeration Date:
05/06/2006

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: 111N00000X , with the licence number:  4960 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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