MEDICARE: DR. STEVEN MICHAEL HAMBURG 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	038008083	IL
2	111N00000X	Chiropractor	CH4940	FL
3	111N00000X	Chiropractor	2008019907	MO
4	111N00000X	Chiropractor	5138	KS

General Provider Information

NPI Number	:	1780692004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN MICHAEL HAMBURG D.C.

Provider Business Mailing Address
First Line	:	2666 CALLIANDRA TER
Second Line	:
City	:	COCONUT CREEK
State	:	FL
Zip	:	33063-9215
Country	:	US
Telephone Number	:	913-645-2132
Fax Number	:

Provider Business Practice Location Address
First Line	:	1741 ALTON RD
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-2495
Country	:	US
Telephone Number	:	913-645-2132
Fax Number	:

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

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	04/12/2012

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