Provider Demographics
NPI:1174688758
Name:ABBE, STEVEN TODD (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:TODD
Last Name:ABBE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:532 CLEVELAND ST
Mailing Address - Street 2:
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44835
Mailing Address - Country:US
Mailing Address - Phone:440-366-4941
Mailing Address - Fax:440-366-4941
Practice Address - Street 1:532 CLEVELAND ST
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44835
Practice Address - Country:US
Practice Address - Phone:440-366-4941
Practice Address - Fax:440-366-4941
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH986111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000129726OtherBCBS
3412980922B12OtherBCBS