Provider Demographics
NPI:1194862409
Name:HUNT, JAMES D (DC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:D
Last Name:HUNT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:JAMES
Other - Middle Name:D
Other - Last Name:HUNT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:440 WEST EVERGREEN AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:PALMER
Mailing Address - State:AK
Mailing Address - Zip Code:99645
Mailing Address - Country:US
Mailing Address - Phone:907-745-0776
Mailing Address - Fax:907-745-0772
Practice Address - Street 1:440 W EVERGREEN AVE
Practice Address - Street 2:STE B
Practice Address - City:PALMER
Practice Address - State:AK
Practice Address - Zip Code:99645-6984
Practice Address - Country:US
Practice Address - Phone:907-745-0776
Practice Address - Fax:907-745-0772
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKAA192111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKCH0192Medicaid
AKK0000QGHBRMedicare UPIN