Provider Demographics
NPI:1275576423
Name:CURRAN, WILLIAM ROBERT (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ROBERT
Last Name:CURRAN
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 1:119 HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:GLENSIDE
Mailing Address - State:PA
Mailing Address - Zip Code:19038-4008
Mailing Address - Country:US
Mailing Address - Phone:215-572-1433
Mailing Address - Fax:215-572-5037
Practice Address - Street 1:119 HARRISON AVE
Practice Address - Street 2:
Practice Address - City:GLENSIDE
Practice Address - State:PA
Practice Address - Zip Code:19038-4008
Practice Address - Country:US
Practice Address - Phone:215-572-1433
Practice Address - Fax:215-572-5037
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002366-L111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0048476000OtherPA BLUE CROSS
PA118083Medicare ID - Type Unspecified
PAT29212Medicare UPIN