Provider Demographics
NPI: | 1780180885 |
---|---|
Name: | STEINBERG, AMY EMILY (MD) |
Entity type: | Individual |
Prefix: | |
First Name: | AMY |
Middle Name: | EMILY |
Last Name: | STEINBERG |
Suffix: | |
Gender: | F |
Credentials: | MD |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | PO BOX 25608 |
Mailing Address - Street 2: | |
Mailing Address - City: | SALT LAKE CITY |
Mailing Address - State: | UT |
Mailing Address - Zip Code: | 84125-0608 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 206-320-4476 |
Mailing Address - Fax: | 206-568-7043 |
Practice Address - Street 1: | 550 17TH AVE |
Practice Address - Street 2: | |
Practice Address - City: | SEATTLE |
Practice Address - State: | WA |
Practice Address - Zip Code: | 98122-5788 |
Practice Address - Country: | US |
Practice Address - Phone: | 206-320-2800 |
Practice Address - Fax: | 206-320-2827 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2018-04-05 |
Last Update Date: | 2025-06-27 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
WA | MD61316863 | 2084N0400X |
390200000X | ||
TX | U5036 | 2084N0400X |
OH | 35C.001532 | 2084N0400X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology |
No | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
WA | 2103194 | Medicaid |