Provider Demographics
NPI:1386789337
Name:STEFFINS, DANIEL FREDERICK (DC)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:FREDERICK
Last Name:STEFFINS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 NORDAHL RD #110 PMB 269
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92069
Mailing Address - Country:US
Mailing Address - Phone:318-512-9491
Mailing Address - Fax:
Practice Address - Street 1:740 NORDAHL RD #110 PMB 269
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92069
Practice Address - Country:US
Practice Address - Phone:318-512-9491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1268111N00000X
CA35199111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAU87328Medicare UPIN
LA4B975Medicare ID - Type Unspecified