MEDICARE: CRAIG STEINKE BC-HIS

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	237700000X	Hearing Instrument Specialist	HADE9915	AZ

General Provider Information

NPI Number	:	1962093872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRAIG STEINKE BC-HIS

Provider Business Mailing Address
First Line	:	14545 W GRAND AVE STE 105
Second Line	:
City	:	SURPRISE
State	:	AZ
Zip	:	85374-7279
Country	:	US
Telephone Number	:	623-975-0108
Fax Number	:

Provider Business Practice Location Address
First Line	:	14545 W GRAND AVE STE 105
Second Line	:
City	:	SURPRISE
State	:	AZ
Zip	:	85374-7279
Country	:	US
Telephone Number	:	623-975-0108
Fax Number	:

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

Provider Enumeration Date	:	02/02/2021
Last Update Date	:	02/02/2021

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