Provider Demographics
NPI:1487796157
Name:STEEL CHIROPRACTIC CLINIC P.A.
Entity type:Organization
Organization Name:STEEL CHIROPRACTIC CLINIC P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:STEEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:704-563-5001
Mailing Address - Street 1:1409 PIERSON DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28205-6445
Mailing Address - Country:US
Mailing Address - Phone:704-563-5001
Mailing Address - Fax:704-563-5072
Practice Address - Street 1:1409 PIERSON DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-6445
Practice Address - Country:US
Practice Address - Phone:704-563-5001
Practice Address - Fax:704-563-5072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1381111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0247GOtherBLUE CROSS BLUE SHIELD
NC8908804Medicaid
NC8908804Medicaid
NCT64428Medicare UPIN