Provider Demographics
NPI:1932388733
Name:HASSEL, KURT W (BS, DC, CCSP)
Entity type:Individual
Prefix:DR
First Name:KURT
Middle Name:W
Last Name:HASSEL
Suffix:
Gender:M
Credentials:BS, DC, CCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-3470
Mailing Address - Country:US
Mailing Address - Phone:443-939-7246
Mailing Address - Fax:
Practice Address - Street 1:7 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-3470
Practice Address - Country:US
Practice Address - Phone:443-939-7246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-29
Last Update Date:2007-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDSO1615111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor