MEDICARE: DR. STEPHEN T URBANEK DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	1953	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609946011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN T URBANEK DC

Provider Business Mailing Address
First Line	:	6040 CLEVELAND AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-2230
Country	:	US
Telephone Number	:	614-595-1596
Fax Number	:	614-890-7952

Provider Business Practice Location Address
First Line	:	6040 CLEVELAND AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-2230
Country	:	US
Telephone Number	:	614-595-1596
Fax Number	:	614-890-7952

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	03/09/2017

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