Provider Demographics
NPI:1295865863
Name:DUNKERLEY CHIROPRACTIC CENTER, INC.
Entity Type:Organization
Organization Name:DUNKERLEY CHIROPRACTIC CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRALES
Authorized Official - Middle Name:EDWIN
Authorized Official - Last Name:DUNKERLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:330-448-1060
Mailing Address - Street 1:PO BOX 531
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44403-0531
Mailing Address - Country:US
Mailing Address - Phone:330-448-1060
Mailing Address - Fax:330-448-1574
Practice Address - Street 1:7433 WARREN SHARON RD
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:OH
Practice Address - Zip Code:44403-9660
Practice Address - Country:US
Practice Address - Phone:330-448-1060
Practice Address - Fax:330-448-1574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1133111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000134194OtherANTHEM
OH293704268008OtherMEDICAL MUTUAL
OH44-00004OtherUNITED HEALTH CARE
OH0601423Medicaid
OH44-00004OtherUNITED HEALTH CARE