Provider Demographics
NPI:1093743445
Name:HUNT, JOHN C (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:C
Last Name:HUNT
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 1:2208 N PRICE RD
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48642-9444
Mailing Address - Country:US
Mailing Address - Phone:989-832-2349
Mailing Address - Fax:989-259-1360
Practice Address - Street 1:2525 WASHINGTON ST
Practice Address - Street 2:STE 500
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48642-4690
Practice Address - Country:US
Practice Address - Phone:989-832-2349
Practice Address - Fax:989-259-1360
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301005704111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
38-3083154OtherFEDERAL TAX I.D. FOR CORP
MI0E650031952Medicare ID - Type Unspecified