Provider Demographics
NPI:1861411308
Name:STEINHOUSER, JOSEPH B (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:B
Last Name:STEINHOUSER
Suffix:
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 1:31900 MISSION TRL
Mailing Address - Street 2:SUITE 140
Mailing Address - City:LAKE ELSINORE
Mailing Address - State:CA
Mailing Address - Zip Code:92530-4534
Mailing Address - Country:US
Mailing Address - Phone:951-674-2999
Mailing Address - Fax:951-245-5027
Practice Address - Street 1:31900 MISSION TRL
Practice Address - Street 2:SUITE 140
Practice Address - City:LAKE ELSINORE
Practice Address - State:CA
Practice Address - Zip Code:92530-4534
Practice Address - Country:US
Practice Address - Phone:951-674-2999
Practice Address - Fax:951-245-5027
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 13396111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC 013396Medicare ID - Type Unspecified