Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 0102201945 | VA |
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 1807 | ME |
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | H0066396 | MD |
Y | 207Q00000X | Family Doctor | H0066396 | MD |
NPI | 1255482477 |
---|---|
Provider Name | Dr. Christina Michelle Steele |
First Address | Silver Spring, MD 20910 |
Second Address | Silver Spring, MD 20910 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2007 |
Last Update Date | 05/12/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
431988600 | (05) | ME |
I09652 | (02) | ME |