Provider Demographics
NPI:1801898408
Name:MCCURTAIN, DANIEL ALLEN (DOCTOR OF CHIROPRACT)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ALLEN
Last Name:MCCURTAIN
Suffix:
Gender:M
Credentials:DOCTOR OF CHIROPRACT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1708 A ST
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94509-2543
Mailing Address - Country:US
Mailing Address - Phone:925-754-6780
Mailing Address - Fax:925-754-6915
Practice Address - Street 1:1708 A ST
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509-2543
Practice Address - Country:US
Practice Address - Phone:925-754-6780
Practice Address - Fax:925-754-6915
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11622111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T04422Medicare UPIN
0435712Medicare ID - Type Unspecified