Provider Demographics
NPI:1154365922
Name:MARSCHNER, KURT JAMES (DC)
Entity type:Individual
Prefix:DR
First Name:KURT
Middle Name:JAMES
Last Name:MARSCHNER
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 1:801 N MAIN STREET EXT
Mailing Address - Street 2:
Mailing Address - City:WALLINGFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06492-2463
Mailing Address - Country:US
Mailing Address - Phone:203-631-5367
Mailing Address - Fax:
Practice Address - Street 1:801 N MAIN STREET EXT STE 110
Practice Address - Street 2:
Practice Address - City:WALLINGFORD
Practice Address - State:CT
Practice Address - Zip Code:06492-2463
Practice Address - Country:US
Practice Address - Phone:203-265-7900
Practice Address - Fax:203-265-7756
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001350111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor