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NPI Code Detail

MEDICARE: E.DIANE STEEVES ENTERPRISES, INC

MEDICARE: E.DIANE STEEVES ENTERPRISES, INC
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
1207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1160996OTHERKSBC BS

General Provider Information

NPI Number : 1356447189
Entity Type Code : Organization
Provider Name (Legal Business Name) : E.DIANE STEEVES ENTERPRISES, INC
Provider Business Mailing Address
First Line : 126 MAIN ST
Second Line : PO BOX 55
City : HALSTEAD
State : KS
Zip : 67056-1708
Country : US
Telephone Number : 316-835-3700
Fax Number : 316-835-3701
Provider Business Practice Location Address
First Line : 126 MAIN ST
Second Line :
City : HALSTEAD
State : KS
Zip : 67056-1708
Country : US
Telephone Number : 316-835-3700
Fax Number : 316-835-3701
Authorized Official
Title or Position : PRESIDENT
Name : MS. EUGENIA DIANE STEEVES
Credential : RN, ARNP
Telephone Number : 316-835-3700
Provider Enumeration Date : 09/16/2006
Last Update Date : 10/05/2007

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Directions to “E.DIANE STEEVES ENTERPRISES, INC ” Practice Location

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