Basic Information
Provider Information
NPI: 1932317997
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STEED
FirstName: CHRIS
MiddleName: DEAN
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10318 SEPTEMBER DR
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452511122
CountryCode: US
TelephoneNumber: 5135456953
FaxNumber: 5138965682
Practice Location
Address1: 1490 UNIVERSITY BLVD
Address2:  
City: HAMILTON
State: OH
PostalCode: 450113305
CountryCode: US
TelephoneNumber: 5138675400
FaxNumber: 5138965682
Other Information
ProviderEnumerationDate: 05/21/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
171M00000X  Y Other Service ProvidersCase Manager/Care Coordinator 

No ID Information.


Home