MEDICARE: MR. ALAN W STOBINSKI 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	2876	OH

General Provider Information

NPI Number	:	1689657272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALAN W STOBINSKI D.C.

Provider Business Mailing Address
First Line	:	119 N MAIN ST
Second Line	:
City	:	SWANTON
State	:	OH
Zip	:	43558-1031
Country	:	US
Telephone Number	:	419-826-8866
Fax Number	:	419-826-7290

Provider Business Practice Location Address
First Line	:	119 N MAIN ST
Second Line	:
City	:	SWANTON
State	:	OH
Zip	:	43558-1031
Country	:	US
Telephone Number	:	419-826-8866
Fax Number	:	419-826-7290

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

Provider Enumeration Date	:	11/28/2005
Last Update Date	:	10/14/2011

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