Healthcare Provider Details

I. General information

NPI: 1649278334
Provider Name (Legal Business Name): JOHN STEIGNER PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 05/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 N 22ND ST MEMORIAL COMMUNITY HOSPITAL CORPORATION
BLAIR NE
68008-1128
US

IV. Provider business mailing address

810 N 22ND ST MEMORIAL COMMUNITY HOSPITAL CORPORATION
BLAIR NE
68008-1128
US

V. Phone/Fax

Practice location:
  • Phone: 402-426-2182
  • Fax: 402-426-1190
Mailing address:
  • Phone: 402-426-2182
  • Fax: 402-426-1135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number002541
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number1967
License Number StateNE
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberPA9101249
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: