Provider Demographics
NPI:1134174279
Name:DRAEGER, CURT J (DC)
Entity type:Individual
Prefix:DR
First Name:CURT
Middle Name:J
Last Name:DRAEGER
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 1:2327 NEVA RD
Mailing Address - Street 2:
Mailing Address - City:ANTIGO
Mailing Address - State:WI
Mailing Address - Zip Code:54409-2912
Mailing Address - Country:US
Mailing Address - Phone:715-623-2123
Mailing Address - Fax:715-623-6556
Practice Address - Street 1:2327 NEVA RD
Practice Address - Street 2:
Practice Address - City:ANTIGO
Practice Address - State:WI
Practice Address - Zip Code:54409-2912
Practice Address - Country:US
Practice Address - Phone:715-623-2123
Practice Address - Fax:715-623-6556
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2015-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2183111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI000135789OtherADVOCARE BY SHP
WI610537900OtherUS DEPT OF LABOR
WI000135789OtherBCBS SMART VALUE
WI000135789OtherRRW MEDICARE
WI38884000Medicaid
WI000135789OtherHUMANA GOLD CHOICE
WI000135789OtherUNICARE
WI18926OtherSECURITY HEALTH PLAN
WI000135789OtherUNICARE
WI000135789OtherADVOCARE BY SHP