Provider Demographics
NPI:1013421783
Name:DRUGAN, STEVEN M (LAC)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:M
Last Name:DRUGAN
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4392 INDIANOLA AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-2226
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4392 INDIANOLA AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-2226
Practice Address - Country:US
Practice Address - Phone:614-725-2488
Practice Address - Fax:614-725-2302
Is Sole Proprietor?:No
Enumeration Date:2017-11-16
Last Update Date:2022-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH65.000119171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
28701OtherDIPL. AC. (NCCAOM)
OH65.000119OtherACUPUNCTURIST LICENSE #