Provider Demographics
NPI:1528050622
Name:STEINMANN, EDWARD ADOLPH JR (DO, DC)
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:ADOLPH
Last Name:STEINMANN
Suffix:JR
Gender:M
Credentials:DO, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1221 CENTER ST
Mailing Address - Street 2:SUITE 15
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309-1014
Mailing Address - Country:US
Mailing Address - Phone:515-243-2888
Mailing Address - Fax:515-243-4377
Practice Address - Street 1:1221 CENTER ST
Practice Address - Street 2:SUITE 15
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-1014
Practice Address - Country:US
Practice Address - Phone:515-243-2888
Practice Address - Fax:515-243-4377
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA04861111N00000X
IA02461207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111N00000XChiropractic ProvidersChiropractor
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E79722Medicare UPIN