Provider Demographics
NPI:1073822441
Name:HOSTNIK, KURT D (DC)
Entity Type:Individual
Prefix:DR
First Name:KURT
Middle Name:D
Last Name:HOSTNIK
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 1:543 WOODLAND AVE
Mailing Address - Street 2:
Mailing Address - City:BRIELLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08730-1921
Mailing Address - Country:US
Mailing Address - Phone:732-298-2607
Mailing Address - Fax:
Practice Address - Street 1:543 WOODLAND AVE
Practice Address - Street 2:
Practice Address - City:BRIELLE
Practice Address - State:NJ
Practice Address - Zip Code:08730-1921
Practice Address - Country:US
Practice Address - Phone:732-298-2607
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-01
Last Update Date:2010-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00686400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor