Provider Demographics
NPI:1225037708
Name:LEIMER, CURTIS LEON (DC)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:LEON
Last Name:LEIMER
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:PO BOX 397
Mailing Address - Street 2:800 WESTON AVE N
Mailing Address - City:ST JAMES
Mailing Address - State:MN
Mailing Address - Zip Code:56081-0397
Mailing Address - Country:US
Mailing Address - Phone:507-375-4690
Mailing Address - Fax:507-375-4690
Practice Address - Street 1:800 WESTON AVE
Practice Address - Street 2:
Practice Address - City:ST JAMES
Practice Address - State:MN
Practice Address - Zip Code:56081-1642
Practice Address - Country:US
Practice Address - Phone:507-375-4690
Practice Address - Fax:507-375-4690
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3474111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNU65515Medicare UPIN
MNC03650Medicare ID - Type UnspecifiedGROUP #