Provider Demographics
NPI:1427258557
Name:HUNTER CLINIC OF CHIROPRACTIC INC
Entity type:Organization
Organization Name:HUNTER CLINIC OF CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRYCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:641-791-2224
Mailing Address - Street 1:207 S 2ND AVE E
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:IA
Mailing Address - Zip Code:50208-3734
Mailing Address - Country:US
Mailing Address - Phone:641-791-2224
Mailing Address - Fax:641-791-9749
Practice Address - Street 1:207 S 2ND AVE E
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:IA
Practice Address - Zip Code:50208-3734
Practice Address - Country:US
Practice Address - Phone:641-791-2224
Practice Address - Fax:641-791-9749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-18
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA24616Medicare PIN
IA24617Medicare PIN