Provider Demographics
NPI:1851531230
Name:CURNUTTE, THOMAS JAMES III (DC)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:JAMES
Last Name:CURNUTTE
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:1621 TOWNE DR
Mailing Address - Street 2:STE C
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65202-3654
Mailing Address - Country:US
Mailing Address - Phone:572-474-8800
Mailing Address - Fax:572-474-8088
Practice Address - Street 1:1621 TOWNE DR
Practice Address - Street 2:STE C
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65202-3654
Practice Address - Country:US
Practice Address - Phone:572-474-8800
Practice Address - Fax:572-474-8088
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-25
Last Update Date:2009-02-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO004198111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO004013460Medicare UPIN