MEDICARE: DR. CURTIS LAMONT HALL DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC22696	CA

General Provider Information

NPI Number	:	1114938248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CURTIS LAMONT HALL DC

Provider Business Mailing Address
First Line	:	74282 HWY 111
Second Line	:	HALL CHIROPRACTIC
City	:	PALM DESERT
State	:	CA
Zip	:	92260-4139
Country	:	US
Telephone Number	:	760-341-4177
Fax Number	:	760-340-6230

Provider Business Practice Location Address
First Line	:	74282 HWY 111
Second Line	:	HALL CHIROPRACTIC
City	:	PALM DESERT
State	:	CA
Zip	:	92260-4139
Country	:	US
Telephone Number	:	760-341-4177
Fax Number	:	760-340-6230

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	05/09/2019

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