Provider Demographics
NPI:1356101976
Name:STECKI, CAROLINE MARGARET
Entity type:Individual
Prefix:MS
First Name:CAROLINE
Middle Name:MARGARET
Last Name:STECKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20956 ANNAPOLIS ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48125-2816
Mailing Address - Country:US
Mailing Address - Phone:131-359-0862
Mailing Address - Fax:
Practice Address - Street 1:20956 ANNAPOLIS ST
Practice Address - Street 2:
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48125-2816
Practice Address - Country:US
Practice Address - Phone:131-359-0862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker