Provider Demographics
NPI:1285781658
Name:STEELE, CHRISTOPHER JEROME
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:JEROME
Last Name:STEELE
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 1:1400 DOUGLAS ST STOP 0050
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68179-1001
Mailing Address - Country:US
Mailing Address - Phone:402-544-3740
Mailing Address - Fax:
Practice Address - Street 1:1400 DOUGLAS ST STOP 0050
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68179-1001
Practice Address - Country:US
Practice Address - Phone:402-544-3740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE10571183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist