Provider Demographics
NPI:1104594365
Name:STEINER, JONATHAN MITCHELL
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:MITCHELL
Last Name:STEINER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 HICKORY BLVD
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37110-3653
Mailing Address - Country:US
Mailing Address - Phone:931-581-9684
Mailing Address - Fax:
Practice Address - Street 1:201 HICKORY BLVD
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:TN
Practice Address - Zip Code:37110-3653
Practice Address - Country:US
Practice Address - Phone:931-581-9684
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-02
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant