Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 5104 | CO |
NPI | 1023146545 |
---|---|
Provider Name | Dr. Jason C Steinle |
First Address | Evergreen, CO 80439-9559 |
Second Address | Evergreen, CO 80439-9559 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2007 |
Last Update Date | 30/09/2018 |