Provider Demographics
NPI:1699778308
Name:VANDEN HOEK, STEVEN LEE (DC)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:LEE
Last Name:VANDEN HOEK
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 1:2201 S BRENTWOOD BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63144-1847
Mailing Address - Country:US
Mailing Address - Phone:314-667-8864
Mailing Address - Fax:314-717-0010
Practice Address - Street 1:2201 S BRENTWOOD BLVD STE 103
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:MO
Practice Address - Zip Code:63144-1847
Practice Address - Country:US
Practice Address - Phone:314-667-8864
Practice Address - Fax:314-717-0010
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2003003457111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO178826OtherBCBS
IL541944OtherHEALTHLINK
MO541944OtherHEALTHLINK
IL9532009OtherBCBS OF ILLINOIS
IL215089Medicare PIN
MO541944OtherHEALTHLINK
IL541944OtherHEALTHLINK