Provider Demographics
NPI:1437266897
Name:SPURGIN, KURT ANDREW (DC)
Entity Type:Individual
Prefix:DR
First Name:KURT
Middle Name:ANDREW
Last Name:SPURGIN
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 1:80-545 HIGHWAY 111 SUITE #B
Mailing Address - Street 2:
Mailing Address - City:INDIO
Mailing Address - State:CA
Mailing Address - Zip Code:92201
Mailing Address - Country:US
Mailing Address - Phone:760-347-6822
Mailing Address - Fax:760-347-8103
Practice Address - Street 1:80-545 HIGHWAY 111
Practice Address - Street 2:SUITE # B
Practice Address - City:INDIO
Practice Address - State:CA
Practice Address - Zip Code:92201
Practice Address - Country:US
Practice Address - Phone:760-347-6822
Practice Address - Fax:760-347-8103
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26146111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0261460Medicare ID - Type Unspecified