Provider Demographics
NPI:1629114848
Name:CURTIS, HERBERT JR (DC)
Entity Type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:
Last Name:CURTIS
Suffix:JR
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 1:29 CATTAIL LN
Mailing Address - Street 2:
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852-3301
Mailing Address - Country:US
Mailing Address - Phone:401-787-2419
Mailing Address - Fax:401-334-4433
Practice Address - Street 1:132 OLD RIVER RD STE 105
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:RI
Practice Address - Zip Code:02865-1397
Practice Address - Country:US
Practice Address - Phone:401-334-3900
Practice Address - Fax:401-334-4433
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDCP00495111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI32158-1OtherBLUE CROSS
RI411521OtherBLUECHIP