Provider Demographics
NPI:1861813818
Name:BRUST, CURTIS WAYNE (DC)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:WAYNE
Last Name:BRUST
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 1:29 N EXPRESS ST
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:AR
Mailing Address - Zip Code:72855-3207
Mailing Address - Country:US
Mailing Address - Phone:479-259-1289
Mailing Address - Fax:
Practice Address - Street 1:29 N EXPRESS ST
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:AR
Practice Address - Zip Code:72855-3207
Practice Address - Country:US
Practice Address - Phone:479-259-1289
Practice Address - Fax:501-423-6555
Is Sole Proprietor?:No
Enumeration Date:2013-12-18
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR16201111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor