Provider Demographics
NPI:1700850187
Name:CURCIO, ANTHONY J (DC)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:J
Last Name:CURCIO
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 1:4915 MONONA DR
Mailing Address - Street 2:SUITE 215
Mailing Address - City:MONONA
Mailing Address - State:WI
Mailing Address - Zip Code:53716-2665
Mailing Address - Country:US
Mailing Address - Phone:608-222-8766
Mailing Address - Fax:
Practice Address - Street 1:4915 MONONA DR
Practice Address - Street 2:SUITE 215
Practice Address - City:MONONA
Practice Address - State:WI
Practice Address - Zip Code:53716-2665
Practice Address - Country:US
Practice Address - Phone:608-222-8766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-14
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2766111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38862000Medicaid
WIU26721Medicare UPIN
WI38862000Medicaid