Provider Demographics
NPI:1194917104
Name:JOSEPH F. UNGER, JR., D.C., A PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:JOSEPH F. UNGER, JR., D.C., A PROFESSIONAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:F
Authorized Official - Last Name:UNGER
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:314-872-9955
Mailing Address - Street 1:2821 N BALLAS RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131-2321
Mailing Address - Country:US
Mailing Address - Phone:314-872-9955
Mailing Address - Fax:314-872-3458
Practice Address - Street 1:2821 N BALLAS RD
Practice Address - Street 2:SUITE 105
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63131-2321
Practice Address - Country:US
Practice Address - Phone:314-872-9955
Practice Address - Fax:314-872-3458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-14
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty