Provider Demographics
NPI:1376667394
Name:BRENNAN, CURTIS LOUIS (DC)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:LOUIS
Last Name:BRENNAN
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 1:229NWBLUE PKWY C
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64063-1800
Mailing Address - Country:US
Mailing Address - Phone:816-347-9747
Mailing Address - Fax:816-347-9748
Practice Address - Street 1:229 NW BLUE PARKWAY, STEC
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-1800
Practice Address - Country:US
Practice Address - Phone:816-347-9747
Practice Address - Fax:816-347-9748
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000157559111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1376667394Medicare UPIN