MEDICARE: STEIN CHIROPRACTIC LLC

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	7206	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00293282	OTHER	AZ	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	AZ0196170	OTHER	AZ	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1619192275
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEIN CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	19420 N 59TH AVE
Second Line	:	STE H810
City	:	GLENDALE
State	:	AZ
Zip	:	85308-6894
Country	:	US
Telephone Number	:	623-215-3791
Fax Number	:

Provider Business Practice Location Address
First Line	:	19420 N 59TH AVE
Second Line	:	STE H810
City	:	GLENDALE
State	:	AZ
Zip	:	85308-6894
Country	:	US
Telephone Number	:	623-215-3791
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. TORSTEN ROLF STEIN
Credential	:	D.C.
Telephone Number	:	623-521-3981

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	05/22/2009

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Directions to “STEIN CHIROPRACTIC LLC ” Practice Location

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