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NPI Code Detail

MEDICARE: DR. NABEEL M BOURAWI D.C.

MEDICARE: DR. NABEEL M BOURAWI 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
1111NS0005XSports Physician Chiropractor4313OH

General Provider Information

NPI Number : 1740524826
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NABEEL M BOURAWI D.C.
Provider Business Mailing Address
First Line : 3450 W CENTRAL AVE STE 136
Second Line :
City : TOLEDO
State : OH
Zip : 43606-1421
Country : US
Telephone Number : 419-536-2222
Fax Number : 419-536-9222
Provider Business Practice Location Address
First Line : 3450 W CENTRAL AVE STE 136
Second Line :
City : TOLEDO
State : OH
Zip : 43606-1421
Country : US
Telephone Number : 419-536-2222
Fax Number : 419-536-9222
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2012
Last Update Date : 09/11/2025

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