Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 631 | SD |
NPI | 1578613410 |
---|---|
Provider Name | Dr. Mark A. Steiner |
First Address | Pierre, SD 57501-2413 |
Second Address | Pierre, SD 57501-2413 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00086506 | BLUE CROSS BLUE SHIELD ID (01) | SD |