Healthcare Provider Details

I. General information

NPI: 1578977625
Provider Name (Legal Business Name): STEVEN CHARLES ELEK D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2014
Last Update Date: 06/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8894 STANFORD BLVD SUITE 102
COLUMBIA MD
21045-4794
US

IV. Provider business mailing address

8894 STANFORD BLVD SUITE 102
COLUMBIA MD
21045-4794
US

V. Phone/Fax

Practice location:
  • Phone: 443-259-0235
  • Fax: 443-259-0236
Mailing address:
  • Phone: 443-259-0235
  • Fax: 443-259-0236

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number03781
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: