Provider Demographics
NPI:1083709224
Name:STRECKER, KURT ADAM (DC)
Entity Type:Individual
Prefix:DR
First Name:KURT
Middle Name:ADAM
Last Name:STRECKER
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 1:1381 BOSTON POST RD
Mailing Address - Street 2:
Mailing Address - City:OLD SAYBROOK
Mailing Address - State:CT
Mailing Address - Zip Code:06475-1136
Mailing Address - Country:US
Mailing Address - Phone:860-943-0030
Mailing Address - Fax:860-395-1113
Practice Address - Street 1:1381 BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:OLD SAYBROOK
Practice Address - State:CT
Practice Address - Zip Code:06475-1136
Practice Address - Country:US
Practice Address - Phone:860-943-0030
Practice Address - Fax:860-395-1113
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001529111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT050001529CT01OtherBLUE CROSS BLUE SHIELD
CT152900OtherCONNECTICARE
CT655428OtherUNITED HEALTHCARE
CT152900OtherCONNECTICARE