Provider Demographics
NPI:1699021519
Name:CURRIER, JONATHAN THOMAS (DC, MS)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:THOMAS
Last Name:CURRIER
Suffix:
Gender:M
Credentials:DC, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4956 BENCHMARK CENTRE DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:SWANSEA
Mailing Address - State:IL
Mailing Address - Zip Code:62226-7605
Mailing Address - Country:US
Mailing Address - Phone:618-622-9770
Mailing Address - Fax:618-622-9773
Practice Address - Street 1:4956 BENCHMARK CENTRE DR
Practice Address - Street 2:SUITE B
Practice Address - City:SWANSEA
Practice Address - State:IL
Practice Address - Zip Code:62226-7605
Practice Address - Country:US
Practice Address - Phone:618-622-9770
Practice Address - Fax:618-622-9773
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-29
Last Update Date:2012-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038012217111N00000X
MO2010033548111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor