Provider Demographics
NPI:1265515076
Name:TENOLD, STEVEN ROBERT (DC)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:ROBERT
Last Name:TENOLD
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 1:406 RIVER AVE. N.
Mailing Address - Street 2:
Mailing Address - City:BELMOND
Mailing Address - State:IA
Mailing Address - Zip Code:50421
Mailing Address - Country:US
Mailing Address - Phone:641-444-7360
Mailing Address - Fax:641-444-7361
Practice Address - Street 1:406 RIVER AVE. N.
Practice Address - Street 2:
Practice Address - City:BELMOND
Practice Address - State:IA
Practice Address - Zip Code:50421
Practice Address - Country:US
Practice Address - Phone:641-444-7360
Practice Address - Fax:641-444-7361
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA06012111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA59942OtherBCBS PROVIDER NUMBER
IA59942Medicare ID - Type Unspecified
IA59942OtherBCBS PROVIDER NUMBER