Provider Demographics
NPI:1124113931
Name:DUNN, ROBERT WILLIAM (DC)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:WILLIAM
Last Name:DUNN
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 1:6850 35TH AVENUE NE
Mailing Address - Street 2:SUITE 9
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-7344
Mailing Address - Country:US
Mailing Address - Phone:206-527-8998
Mailing Address - Fax:206-527-8998
Practice Address - Street 1:6850 35TH AVENUE NE
Practice Address - Street 2:SUITE 9
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-7344
Practice Address - Country:US
Practice Address - Phone:206-527-8998
Practice Address - Fax:206-527-8996
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00001118111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2000008Medicaid
WA000101368Medicare ID - Type Unspecified