Provider Demographics
NPI:1215230172
Name:CURLEE, JANELLE MAIMIE (DC)
Entity Type:Individual
Prefix:DR
First Name:JANELLE
Middle Name:MAIMIE
Last Name:CURLEE
Suffix:
Gender:F
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:PO BOX 274
Mailing Address - Street 2:
Mailing Address - City:PITTSVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:54466-0274
Mailing Address - Country:US
Mailing Address - Phone:715-884-2379
Mailing Address - Fax:
Practice Address - Street 1:8243 JACKSON ST
Practice Address - Street 2:
Practice Address - City:PITTSVILLE
Practice Address - State:WI
Practice Address - Zip Code:54466-9527
Practice Address - Country:US
Practice Address - Phone:715-884-2379
Practice Address - Fax:715-884-2411
Is Sole Proprietor?:No
Enumeration Date:2010-12-15
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4681-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1215230172Medicaid
WI355720001Medicare PIN