Provider Demographics
NPI:1437696747
Name:DULANEY, HUNTER BRADLEY (DC)
Entity Type:Individual
Prefix:DR
First Name:HUNTER
Middle Name:BRADLEY
Last Name:DULANEY
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 1:1830 172ND AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:GRAND HAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:49417-8999
Mailing Address - Country:US
Mailing Address - Phone:616-842-7500
Mailing Address - Fax:
Practice Address - Street 1:1830 172ND AVE
Practice Address - Street 2:SUITE B
Practice Address - City:GRAND HAVEN
Practice Address - State:MI
Practice Address - Zip Code:49417-8999
Practice Address - Country:US
Practice Address - Phone:616-842-7500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-24
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301010489111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor