Provider Demographics
NPI:1912378068
Name:URBANSKI, CAROLYN (DC)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:
Last Name:URBANSKI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1521 7TH ST S APT 302
Mailing Address - Street 2:
Mailing Address - City:WAITE PARK
Mailing Address - State:MN
Mailing Address - Zip Code:56387-1733
Mailing Address - Country:US
Mailing Address - Phone:651-468-9651
Mailing Address - Fax:
Practice Address - Street 1:750 1ST ST S
Practice Address - Street 2:STE 103
Practice Address - City:WAITE PARK
Practice Address - State:MN
Practice Address - Zip Code:56387-1315
Practice Address - Country:US
Practice Address - Phone:320-240-6561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-15
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6071111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor