Provider Demographics
NPI:1710724935
Name:MAKOFKA, STEVE E (CFLC)
Entity type:Individual
Prefix:
First Name:STEVE
Middle Name:E
Last Name:MAKOFKA
Suffix:
Gender:M
Credentials:CFLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1031 INDEPENDENCE DR
Mailing Address - Street 2:
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45429-5641
Mailing Address - Country:US
Mailing Address - Phone:937-416-2127
Mailing Address - Fax:
Practice Address - Street 1:1031 INDEPENDENCE DR
Practice Address - Street 2:
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45429-5641
Practice Address - Country:US
Practice Address - Phone:937-416-2127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-15
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No174H00000XOther Service ProvidersHealth Educator