MEDICARE: ROBERT JOSEPH STEISKAL BS DC

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	DC0107550	CA

General Provider Information

NPI Number	:	1447330576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT JOSEPH STEISKAL BS DC

Provider Business Mailing Address
First Line	:	718 N EUCLID AVE
Second Line	:
City	:	ONTARIO
State	:	CA
Zip	:	91762-2712
Country	:	US
Telephone Number	:	909-986-3636
Fax Number	:	909-986-6420

Provider Business Practice Location Address
First Line	:	718 N EUCLID AVE
Second Line	:
City	:	ONTARIO
State	:	CA
Zip	:	91762-2712
Country	:	US
Telephone Number	:	909-986-3636
Fax Number	:	909-986-6420

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

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	03/05/2010

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