Provider Demographics
NPI:1043375512
Name:BLABAUM, CURT JOSEPH (DC)
Entity type:Individual
Prefix:DR
First Name:CURT
Middle Name:JOSEPH
Last Name:BLABAUM
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 1:218 HIGHWAY 49 N
Mailing Address - Street 2:SUITE C
Mailing Address - City:BYRON
Mailing Address - State:GA
Mailing Address - Zip Code:31008
Mailing Address - Country:US
Mailing Address - Phone:478-956-2388
Mailing Address - Fax:478-956-2389
Practice Address - Street 1:218 HIGHWAY 49 N
Practice Address - Street 2:SUITE C
Practice Address - City:BYRON
Practice Address - State:GA
Practice Address - Zip Code:31008
Practice Address - Country:US
Practice Address - Phone:478-956-2388
Practice Address - Fax:478-956-2389
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR007601111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA260095070OtherTAX ID
GAV08539Medicare UPIN
GAGRP7611Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER