1285672675 NPI number — STEINHAUSER FAMILY CHIROPRACTIC P.C.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285672675 NPI number — STEINHAUSER FAMILY CHIROPRACTIC P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
STEINHAUSER FAMILY CHIROPRACTIC P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
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:
1285672675
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/19/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5550 S 59TH ST
Provider Second Line Business Mailing Address:
SUITE 14
Provider Business Mailing Address City Name:
LINCOLN
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68516-2398
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
402-420-2872
Provider Business Mailing Address Fax Number:
402-420-0148

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5550 S 59TH ST
Provider Second Line Business Practice Location Address:
SUITE 14
Provider Business Practice Location Address City Name:
LINCOLN
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68516-2398
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-420-2872
Provider Business Practice Location Address Fax Number:
402-420-0148
Provider Enumeration Date:
06/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
STEINHAUSER
Authorized Official First Name:
JUSTIN
Authorized Official Middle Name:
MICHAEL
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
402-420-2872

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  1401 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 09627 . This is a "BC BS PROVIDER ID" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".




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