MEDICARE: DR. STEVEN BRUCE IRVINE D.C.

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	2727	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000122734	OTHER	OH	BLUE CROSS/BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467546663
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN BRUCE IRVINE D.C.

Provider Business Mailing Address
First Line	:	1219 COUNTY LINE ROAD
Second Line	:	SUITE C
City	:	WESTERVILLE
State	:	OH
Zip	:	43081-6001
Country	:	US
Telephone Number	:	614-839-2225
Fax Number	:	614-891-8875

Provider Business Practice Location Address
First Line	:	1219 COUNTY LINE ROAD
Second Line	:	SUITE C
City	:	WESTERVILLE
State	:	OH
Zip	:	43081-6001
Country	:	US
Telephone Number	:	614-839-2225
Fax Number	:	614-891-8875

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

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	10/15/2019

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