Provider Demographics
NPI:1740524826
Name:BOURAWI, NABEEL M (DC)
Entity type:Individual
Prefix:DR
First Name:NABEEL
Middle Name:M
Last Name:BOURAWI
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 1:3450 W CENTRAL AVE STE 136
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-1421
Mailing Address - Country:US
Mailing Address - Phone:419-536-2222
Mailing Address - Fax:419-536-9222
Practice Address - Street 1:3450 W CENTRAL AVE STE 136
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-1421
Practice Address - Country:US
Practice Address - Phone:419-536-2222
Practice Address - Fax:419-536-9222
Is Sole Proprietor?:No
Enumeration Date:2012-11-15
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4313111NS0005X, 111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician