Provider Demographics
NPI:1588766109
Name:SANFORD, STEINER D JR (DC)
Entity type:Individual
Prefix:DR
First Name:STEINER
Middle Name:D
Last Name:SANFORD
Suffix:JR
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 1:410 GREEN BELT DRIVE
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37804
Mailing Address - Country:US
Mailing Address - Phone:865-208-4200
Mailing Address - Fax:865-466-6500
Practice Address - Street 1:410 GREEN BELT DRIVE
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37804
Practice Address - Country:US
Practice Address - Phone:865-208-4200
Practice Address - Fax:865-466-6500
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-03
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1988111N00000X
TNTN1988111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN21263372519OtherBEECHSTREET
TN4097676OtherBLUE CROSS PIN NUMBER
TN21263372519OtherBEECHSTREET
TNV03046Medicare UPIN