Provider Demographics
NPI:1861517773
Name:STEEN, CHERYL G (DC)
Entity type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:G
Last Name:STEEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:808 BROWNING AVE
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80863-3319
Mailing Address - Country:US
Mailing Address - Phone:719-687-7600
Mailing Address - Fax:866-814-6742
Practice Address - Street 1:808 BROWNING AVE
Practice Address - Street 2:
Practice Address - City:WOODLAND PARK
Practice Address - State:CO
Practice Address - Zip Code:80863-3319
Practice Address - Country:US
Practice Address - Phone:719-687-7600
Practice Address - Fax:866-814-6742
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4538111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC48273Medicare ID - Type UnspecifiedNON-PARTICIPATING PROVIDE