Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 19481 | SC |
NPI | 1053371328 |
---|---|
Provider Name | Dr. John D Steichen |
First Address | Charlotte, NC 28275-1649 |
Second Address | Charleston, SC 29414-5894 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2006 |
Last Update Date | 27/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
194818 | (05) | SC |
E74260 | (02) | |
P00739564 | RAILROAD MEDICARE ID-RSFPN (01) | SC |