Provider Demographics
NPI:1417577198
Name:KUNSMAN CHIROPRACTIC, PC
Entity Type:Organization
Organization Name:KUNSMAN CHIROPRACTIC, PC
Other - Org Name:VALLEJO CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:KUNSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:707-553-2225
Mailing Address - Street 1:11 TENNESSEE ST
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94590-4335
Mailing Address - Country:US
Mailing Address - Phone:707-553-2225
Mailing Address - Fax:707-648-2501
Practice Address - Street 1:11 TENNESSEE ST
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94590-4335
Practice Address - Country:US
Practice Address - Phone:707-553-2225
Practice Address - Fax:707-648-2501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-22
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty