Basic Information
Provider Information
NPI: 1821218348
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STEINSHOUER
FirstName: CHLOE
MiddleName: R.
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3009 N. CYPRESS
Address2:  
City: WICHITA
State: KS
PostalCode: 672264003
CountryCode: US
TelephoneNumber: 3164401010
FaxNumber: 3164400802
Practice Location
Address1: 3009 N. CYPRESS
Address2:  
City: WICHITA
State: KS
PostalCode: 672264003
CountryCode: US
TelephoneNumber: 3164401010
FaxNumber: 3164400802
Other Information
ProviderEnumerationDate: 04/26/2007
LastUpdateDate: 10/15/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/15/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RS0012X04-36586KSN Allopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
207RS0012X0436586KSN Allopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
207RC0200X04-36586KSN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RP1001X04-36586KSN Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207RC0200X0436586KSN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RP1001X0436586KSY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

ID Information
IDTypeStateIssuerDescription
200500000A01OKMEDICAIDOTHER
201084530A05KS MEDICAID


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