MEDICARE: JOHN CHIRSTOPHER KURUC 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	CHR0008173	CO
2	111N00000X	Chiropractor	DC010673	PA

General Provider Information

NPI Number	:	1669717161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN CHIRSTOPHER KURUC D.C.

Provider Business Mailing Address
First Line	:	1825 SHARP POINT DR STE 126
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-4450
Country	:	US
Telephone Number	:	970-698-6827
Fax Number	:	970-232-9409

Provider Business Practice Location Address
First Line	:	1825 SHARP POINT DR STE 126
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-4450
Country	:	US
Telephone Number	:	970-698-6827
Fax Number	:	970-232-9409

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

Provider Enumeration Date	:	12/10/2012
Last Update Date	:	09/20/2021

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