Provider Demographics
NPI:1467596320
Name:CURRAN CHIROPRACTIC CENTER, P.C.
Entity Type:Organization
Organization Name:CURRAN CHIROPRACTIC CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:CURRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:215-572-1433
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002366-L111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0048476000OtherINDEPENDENCE BLUE CROSS
PA0088935OtherAETNA
PA10925244OtherCAQH
PAT29212Medicare UPIN
PA0088935OtherAETNA