Provider Demographics
NPI:1285870659
Name:CURRAN MARTIN CHIROPRACTIC CENTER
Entity type:Organization
Organization Name:CURRAN MARTIN CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:DUSTIN
Authorized Official - Middle Name:G
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:215-370-6167
Mailing Address - Street 1:119 HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:GLENSIDE
Mailing Address - State:PA
Mailing Address - Zip Code:19038-4008
Mailing Address - Country:US
Mailing Address - Phone:215-370-6167
Mailing Address - Fax:215-572-5037
Practice Address - Street 1:119 HARRISON AVE
Practice Address - Street 2:
Practice Address - City:GLENSIDE
Practice Address - State:PA
Practice Address - Zip Code:19038-4008
Practice Address - Country:US
Practice Address - Phone:215-370-6167
Practice Address - Fax:215-572-5037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-06
Last Update Date:2009-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty