Provider Demographics
NPI:1306857545
Name:STEINES, GERALD JOHN (DPM)
Entity type:Individual
Prefix:
First Name:GERALD
Middle Name:JOHN
Last Name:STEINES
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1626 7TH AVE
Mailing Address - Street 2:P.O. BOX 46
Mailing Address - City:BEAVER FALLS
Mailing Address - State:PA
Mailing Address - Zip Code:15010-4058
Mailing Address - Country:US
Mailing Address - Phone:724-843-8791
Mailing Address - Fax:724-843-4009
Practice Address - Street 1:1626 7TH AVE
Practice Address - Street 2:
Practice Address - City:BEAVER FALLS
Practice Address - State:PA
Practice Address - Zip Code:15010-4058
Practice Address - Country:US
Practice Address - Phone:724-843-8791
Practice Address - Fax:724-843-4009
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC001439L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist