Provider Demographics
NPI:1164569505
Name:DUNN, PAMELA G (DC)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:G
Last Name:DUNN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 E SIMPSON ST STE A
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-3816
Mailing Address - Country:US
Mailing Address - Phone:717-697-9100
Mailing Address - Fax:717-697-9428
Practice Address - Street 1:33 E SIMPSON ST STE A
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-3816
Practice Address - Country:US
Practice Address - Phone:717-697-9100
Practice Address - Fax:717-697-9428
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC8602111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA710263OtherUPMC PROVIDER ID
PA345375OtherHEALTH ASSURANCE ID
PA02269701OtherBLUE CROSS PROVIDER ID
PA710263OtherUPMC PROVIDER ID