Healthcare Provider Details

I. General information

NPI: 1447944913
Provider Name (Legal Business Name): MARY STEINKE L. AC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2023
Last Update Date: 06/06/2023
Certification Date: 06/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 HARFORD RD
BALTIMORE MD
21214-2935
US

IV. Provider business mailing address

4801 HARFORD RD
BALTIMORE MD
21214-2935
US

V. Phone/Fax

Practice location:
  • Phone: 443-438-4048
  • Fax:
Mailing address:
  • Phone: 443-438-4048
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberU02993
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberM05556
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA100924
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: