Provider Demographics
NPI:1952400038
Name:SKUROW, STEVEN MARC (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:MARC
Last Name:SKUROW
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 1:9332 CINCINNATI COLUMBUS RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45241-1110
Mailing Address - Country:US
Mailing Address - Phone:513-779-1033
Mailing Address - Fax:513-777-8735
Practice Address - Street 1:9332 CINCINNATI COLUMBUS RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45241-1110
Practice Address - Country:US
Practice Address - Phone:513-779-1033
Practice Address - Fax:513-777-8735
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2009-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH799111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH310990743-00OtherOHIO BWC
OH0416160Medicaid
OH310990743OtherCIGNA
OH44-0048OtherUNITED HEALTH CARE
OH799OCOtherCHOICE CARE
OHP00622670OtherRAILROAD MEDICARE
OH000000008767OtherANTHEM BC/BS
OHT47116Medicare UPIN
OHSKO474391Medicare ID - Type Unspecified