Provider Demographics
NPI:1063739845
Name:STEELE, EILEEN TERESA (DO)
Entity type:Individual
Prefix:DR
First Name:EILEEN
Middle Name:TERESA
Last Name:STEELE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 OLD MILL RD
Mailing Address - Street 2:
Mailing Address - City:WALL
Mailing Address - State:NJ
Mailing Address - Zip Code:07719-3629
Mailing Address - Country:US
Mailing Address - Phone:732-239-7135
Mailing Address - Fax:
Practice Address - Street 1:1900 OLD MILL RD
Practice Address - Street 2:
Practice Address - City:WALL
Practice Address - State:NJ
Practice Address - Zip Code:07719-3629
Practice Address - Country:US
Practice Address - Phone:732-239-7135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-03
Last Update Date:2010-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00430100111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor