Healthcare Provider Details

I. General information

NPI: 1306891452
Provider Name (Legal Business Name): STEVEN MICHAEL URICHECK
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 07/10/2024
Certification Date: 11/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 LITCHFIELD ST
TORRINGTON CT
06790-6679
US

IV. Provider business mailing address

540 LITCHFIELD STREET
TORRINGTON CT
06790-6679
US

V. Phone/Fax

Practice location:
  • Phone: 860-496-6580
  • Fax: 860-489-5519
Mailing address:
  • Phone: 860-496-6580
  • Fax: 860-489-5519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number3406
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number003406
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: