Provider Demographics
NPI:1225007131
Name:UNRUH, CHACE RYAN (DC)
Entity Type:Individual
Prefix:
First Name:CHACE
Middle Name:RYAN
Last Name:UNRUH
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 1:23043 LYONS AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91321-2719
Mailing Address - Country:US
Mailing Address - Phone:661-288-0022
Mailing Address - Fax:661-288-2030
Practice Address - Street 1:23043 LYONS AVE
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91321-2719
Practice Address - Country:US
Practice Address - Phone:661-288-0022
Practice Address - Fax:661-288-2030
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28751111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor