Provider Demographics
NPI:1336314954
Name:HUNERBERG, RICHARD PAUL (DC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:PAUL
Last Name:HUNERBERG
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 1:1020 SUMMIT TRAIL CIR APT B
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33415-4840
Mailing Address - Country:US
Mailing Address - Phone:561-689-4987
Mailing Address - Fax:561-689-4987
Practice Address - Street 1:13860 WELLINGTON TRCE
Practice Address - Street 2:SUITE 13
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-8588
Practice Address - Country:US
Practice Address - Phone:561-793-4700
Practice Address - Fax:561-793-5504
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7048111N00000X
GACHIR008198111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor