1376658633 NPI number — DONALD J CURRAN DO PLLC

Table of content: (NPI 1376658633)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376658633 NPI number — DONALD J CURRAN DO PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DONALD J CURRAN DO PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1376658633
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/17/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2429
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MURRELLS INLET
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29576-2429
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
843-651-2624
Provider Business Mailing Address Fax Number:
843-491-4023

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
401 S CALVARY WAY
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
COTTONWOOD
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
86326-4165
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-651-2624
Provider Business Practice Location Address Fax Number:
843-491-4023
Provider Enumeration Date:
08/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CURRAN
Authorized Official First Name:
DONALD
Authorized Official Middle Name:
J
Authorized Official Title or Position:
MANAGING MEMBER
Authorized Official Telephone Number:
843-651-2624

Provider Taxonomy Codes

  • Taxonomy code: 2084P0805X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com