Provider Demographics
NPI:1407805724
Name:CURTIS, NELSON JAMES III (DC)
Entity Type:Individual
Prefix:DR
First Name:NELSON
Middle Name:JAMES
Last Name:CURTIS
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1602
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70470-1602
Mailing Address - Country:US
Mailing Address - Phone:985-893-2223
Mailing Address - Fax:985-893-2281
Practice Address - Street 1:7015 190 EAST SERVICE RD, SUITE 201
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-7043
Practice Address - Country:US
Practice Address - Phone:985-893-2223
Practice Address - Fax:985-893-2281
Is Sole Proprietor?:No
Enumeration Date:2006-05-06
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA1272111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA11541193OtherCAQH
LA274031OtherCOVENTRY
LA010830060OtherTAX ID NUMBER
LA11541193OtherCAQH