Provider Demographics
NPI:1043664519
Name:DUNN FAMILY CHIROPRACTIC INC
Entity Type:Organization
Organization Name:DUNN FAMILY CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MYRON
Authorized Official - Middle Name:JAMAL
Authorized Official - Last Name:BUTTS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:562-981-0555
Mailing Address - Street 1:4028 LONG BEACH BLVD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-2697
Mailing Address - Country:US
Mailing Address - Phone:562-981-0655
Mailing Address - Fax:562-981-0407
Practice Address - Street 1:4028 LONG BEACH BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-2697
Practice Address - Country:US
Practice Address - Phone:562-981-0655
Practice Address - Fax:562-981-0407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-20
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30680111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty