Healthcare Provider Details

I. General information

NPI: 1417043209
Provider Name (Legal Business Name): CHRISTOPHER D STEACY D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 03/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

827 F ROCKVILLE PIKE
ROCKVILLE MD
20852
US

IV. Provider business mailing address

11418 LIVINGSTON ROAD
FT. WASHINGTON MD
20744
US

V. Phone/Fax

Practice location:
  • Phone: 301-251-2777
  • Fax: 240-766-0304
Mailing address:
  • Phone: 240-766-0300
  • Fax: 240-766-0304

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number03391
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: