Provider Demographics
NPI:1124246467
Name:DUNNIGAN, JEFFREY AARON (DC)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:AARON
Last Name:DUNNIGAN
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 1:1520 SOUTH BLVD STE 228
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-3718
Mailing Address - Country:US
Mailing Address - Phone:704-569-5489
Mailing Address - Fax:980-339-5779
Practice Address - Street 1:1520 SOUTH BLVD STE 228
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-3718
Practice Address - Country:US
Practice Address - Phone:704-569-5489
Practice Address - Fax:980-339-5779
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3205111N00000X
NC4824111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
1013180801OtherGROUP NPI
OH4084641OtherMEDICARE
OH2335557Medicaid
OH9325301OtherMEDICARE
OH2335557Medicaid