Healthcare Provider Details

I. General information

NPI: 1487603775
Provider Name (Legal Business Name): STEVEN W TEUFEL D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2511 CHELSEA DR
FORT MITCHELL KY
41017-1701
US

IV. Provider business mailing address

280 GENERAL MITCHELL LN #67
FORT MITCHELL KY
41017-2789
US

V. Phone/Fax

Practice location:
  • Phone: 859-578-8666
  • Fax: 859-578-9666
Mailing address:
  • Phone: 859-466-3318
  • Fax: 859-578-9666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4960
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: