Provider Demographics
NPI:1932191392
Name:KULAWY, STEVEN M (DC)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:M
Last Name:KULAWY
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 1:5405 NIBUD CT
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4666
Mailing Address - Country:US
Mailing Address - Phone:301-214-2442
Mailing Address - Fax:301-214-2443
Practice Address - Street 1:5405 NIBUD CT
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-4666
Practice Address - Country:US
Practice Address - Phone:301-214-2442
Practice Address - Fax:301-214-2443
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000209111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0104000209OtherSTATE LICENSE
VA0104000209OtherSTATE LICENSE