MEDICARE: DR. KURT JAMES MARSCHNER D.C.

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	001350	CT

General Provider Information

NPI Number	:	1154365922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KURT JAMES MARSCHNER D.C.

Provider Business Mailing Address
First Line	:	801 N MAIN STREET EXT
Second Line	:
City	:	WALLINGFORD
State	:	CT
Zip	:	06492-2463
Country	:	US
Telephone Number	:	203-631-5367
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 N MAIN STREET EXT STE 110
Second Line	:
City	:	WALLINGFORD
State	:	CT
Zip	:	06492-2463
Country	:	US
Telephone Number	:	203-265-7900
Fax Number	:	203-265-7756

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

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	03/10/2020

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