Provider Demographics
NPI:1538274279
Name:STEELE, LEIGH EDMUND JR (DC)
Entity type:Individual
Prefix:DR
First Name:LEIGH
Middle Name:EDMUND
Last Name:STEELE
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3556 HUCKLEBERRY RD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104
Mailing Address - Country:US
Mailing Address - Phone:610-398-3917
Mailing Address - Fax:
Practice Address - Street 1:3315 HAMILTON BLVD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-4536
Practice Address - Country:US
Practice Address - Phone:610-841-3556
Practice Address - Fax:610-841-3558
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009615111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
V09206Medicare UPIN
100788Medicare ID - Type Unspecified