Provider Demographics
NPI:1962586800
Name:MARGERUM, CURTIS C (DC)
Entity type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:C
Last Name:MARGERUM
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 1:18 LUDWELL LN
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-8514
Mailing Address - Country:US
Mailing Address - Phone:549-659-0115
Mailing Address - Fax:
Practice Address - Street 1:7770 RICHMOND HWY STE D
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22306-2859
Practice Address - Country:US
Practice Address - Phone:703-360-1011
Practice Address - Fax:703-360-1075
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000973111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA093882OtherANTHEM BC/BS
VA2431906OtherAETNA
VA4465301OtherAETNA
VA2431906OtherAETNA