Healthcare Provider Details

I. General information

NPI: 1760716252
Provider Name (Legal Business Name): CURTIS ANTHONY AHERN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2009
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1524 HORTON RD
JACKSON MI
49203-5127
US

IV. Provider business mailing address

146 SOMERSET DR
BROOKLYN MI
49230-9756
US

V. Phone/Fax

Practice location:
  • Phone: 248-701-1821
  • Fax:
Mailing address:
  • Phone: 248-701-1821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301009473
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: