MEDICARE: TAMARA M STEINBACH D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	4968	CO

General Provider Information

NPI Number	:	1326181959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMARA M STEINBACH D.C.

Provider Business Mailing Address
First Line	:	620 S CASCADE AVE
Second Line	:	STE B
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-4039
Country	:	US
Telephone Number	:	719-574-5500
Fax Number	:	719-471-9053

Provider Business Practice Location Address
First Line	:	620 S CASCADE AVE
Second Line	:	STE. B
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-4039
Country	:	US
Telephone Number	:	719-574-5500
Fax Number	:	719-471-9053

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	04/16/2018

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