Provider Demographics
NPI:1962514703
Name:UNGER, RYAN R (DC)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:R
Last Name:UNGER
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 1:120 N SCOTT STREET
Mailing Address - Street 2:
Mailing Address - City:SAINT FRANCIS
Mailing Address - State:KS
Mailing Address - Zip Code:67756
Mailing Address - Country:US
Mailing Address - Phone:785-332-2186
Mailing Address - Fax:
Practice Address - Street 1:120 N SCOTT STREET
Practice Address - Street 2:
Practice Address - City:SAINT FRANCIS
Practice Address - State:KS
Practice Address - Zip Code:67756
Practice Address - Country:US
Practice Address - Phone:785-332-2186
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-04675111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS060073OtherBLUE CROSS BLUE SHIELD
KS060073OtherBLUE CROSS BLUE SHIELD
KS060073Medicare ID - Type Unspecified