Provider Demographics
NPI:1578601985
Name:CURTIN, MICHAEL MARTIN (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:MARTIN
Last Name:CURTIN
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 1:18059 POPLAR AVE
Mailing Address - Street 2:
Mailing Address - City:SONOMA
Mailing Address - State:CA
Mailing Address - Zip Code:95476-3688
Mailing Address - Country:US
Mailing Address - Phone:707-996-3633
Mailing Address - Fax:
Practice Address - Street 1:712 D ST
Practice Address - Street 2:SUITE B
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94901-3709
Practice Address - Country:US
Practice Address - Phone:415-453-1900
Practice Address - Fax:415-453-3268
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC20152111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor