Provider Demographics
NPI:1306928957
Name:HORBAL, STEVEN RAY (DC)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:RAY
Last Name:HORBAL
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 1:1710 DOUGLAS DR N
Mailing Address - Street 2:STE 222
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55422-4327
Mailing Address - Country:US
Mailing Address - Phone:763-544-9667
Mailing Address - Fax:763-544-9823
Practice Address - Street 1:1710 DOUGLAS DR N STE 222
Practice Address - Street 2:
Practice Address - City:GOLDEN VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55422-4327
Practice Address - Country:US
Practice Address - Phone:763-544-9667
Practice Address - Fax:763-544-9823
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2657111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
62510HOOtherBCBS PROVIDER ID
MN333328100Medicaid
OB109HOOtherBCBS CLINIC/PRACTICE ID
OB109HOOtherBCBS CLINIC/PRACTICE ID