Provider Demographics
NPI:1053444752
Name:HUNTER, STEPHEN J (DC)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:J
Last Name:HUNTER
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 1:3987 HAMILTON MIDDLETOWN RD
Mailing Address - Street 2:STE-E
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-8344
Mailing Address - Country:US
Mailing Address - Phone:513-737-1073
Mailing Address - Fax:
Practice Address - Street 1:3987 HAMILTON MIDDLETOWN RD
Practice Address - Street 2:STE-E
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-8344
Practice Address - Country:US
Practice Address - Phone:513-737-1073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2592111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000776414OtherAETNA
OH000000000424OtherANTHEM
OH0859771OtherCGS-MEDICARE