Provider Demographics
NPI:1235461195
Name:UNGER CHIROPRACTIC CLINIC
Entity Type:Organization
Organization Name:UNGER CHIROPRACTIC CLINIC
Other - Org Name:UNGER CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:UNGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:785-475-2219
Mailing Address - Street 1:504 N PENN AVE
Mailing Address - Street 2:
Mailing Address - City:OBERLIN
Mailing Address - State:KS
Mailing Address - Zip Code:67749-1619
Mailing Address - Country:US
Mailing Address - Phone:785-475-2219
Mailing Address - Fax:
Practice Address - Street 1:504 N PENN AVE
Practice Address - Street 2:
Practice Address - City:OBERLIN
Practice Address - State:KS
Practice Address - Zip Code:67749-1619
Practice Address - Country:US
Practice Address - Phone:785-475-2219
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-03
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-04675111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty