Provider Demographics
NPI:1467532457
Name:DUNN, JOHN CASEY (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:CASEY
Last Name:DUNN
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 1:819 SHADY REST RD
Mailing Address - Street 2:
Mailing Address - City:HAVANA
Mailing Address - State:FL
Mailing Address - Zip Code:32333-4642
Mailing Address - Country:US
Mailing Address - Phone:850-539-0682
Mailing Address - Fax:
Practice Address - Street 1:1213 N MONROE ST
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-6148
Practice Address - Country:US
Practice Address - Phone:850-222-1171
Practice Address - Fax:850-222-1174
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 4101111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL70489OtherMEDICARE
FL70489OtherBLUE CROSS BLUE SHIELD