Healthcare Provider Details

I. General information

NPI: 1295817088
Provider Name (Legal Business Name): STECKLEIN ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2505 CANTERBURY DR
HAYS KS
67601-2233
US

IV. Provider business mailing address

2505 CANTERBURY DR
HAYS KS
67601-2233
US

V. Phone/Fax

Practice location:
  • Phone: 785-625-2529
  • Fax: 785-625-8176
Mailing address:
  • Phone: 785-625-2529
  • Fax: 785-625-8176

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number209975
License Number StateKS

VIII. Authorized Official

Name: STEPHANIE STECKLEIN
Title or Position: OWNER
Credential:
Phone: 785-625-2529