Provider Demographics
NPI:1518181874
Name:MARTIN, CURTIS M (DC)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:M
Last Name:MARTIN
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 1:1170 CONCORD AVENUE, SUITE 100
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-5652
Mailing Address - Country:US
Mailing Address - Phone:925-681-0801
Mailing Address - Fax:925-681-0811
Practice Address - Street 1:1170 CONCORD AVENUE, SUITE 100
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-5652
Practice Address - Country:US
Practice Address - Phone:925-681-0801
Practice Address - Fax:925-681-0811
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2010-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25596DC111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0255960Medicare PIN