Provider Demographics
NPI:1114938248
Name:HALL, CURTIS LAMONT (DC)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:LAMONT
Last Name:HALL
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 1:74282 HWY 111
Mailing Address - Street 2:HALL CHIROPRACTIC
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-4139
Mailing Address - Country:US
Mailing Address - Phone:760-341-4177
Mailing Address - Fax:760-340-6230
Practice Address - Street 1:74282 HWY 111
Practice Address - Street 2:HALL CHIROPRACTIC
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-4139
Practice Address - Country:US
Practice Address - Phone:760-341-4177
Practice Address - Fax:760-340-6230
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC22696111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC0226960Medicare ID - Type Unspecified