Provider Demographics
NPI:1053161455
Name:STEELE, MARK EARL
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:EARL
Last Name:STEELE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1075 CHESTERSHIRE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43204-2329
Mailing Address - Country:US
Mailing Address - Phone:614-804-6204
Mailing Address - Fax:
Practice Address - Street 1:1075 CHESTERSHIRE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43204-2329
Practice Address - Country:US
Practice Address - Phone:614-804-6204
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-26
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker