Provider Demographics
NPI:1902804818
Name:DAMIEN, CURTIS EUGENE (DC)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:EUGENE
Last Name:DAMIEN
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 1:8110 US HIGHWAY 51 N
Mailing Address - Street 2:SUITE 2
Mailing Address - City:MILLINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38053-1715
Mailing Address - Country:US
Mailing Address - Phone:901-872-0760
Mailing Address - Fax:901-872-3120
Practice Address - Street 1:8110 US HIGHWAY 51 N
Practice Address - Street 2:SUITE 2
Practice Address - City:MILLINGTON
Practice Address - State:TN
Practice Address - Zip Code:38053-1715
Practice Address - Country:US
Practice Address - Phone:901-872-0760
Practice Address - Fax:901-872-3120
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-13
Last Update Date:2011-04-01
Deactivation Date:2006-03-17
Deactivation Code:
Reactivation Date:2006-03-23
Provider Licenses
StateLicense IDTaxonomies
TNTN1411DC111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor