Provider Demographics
NPI:1528001120
Name:BUNT, RONALD (DC)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:
Last Name:BUNT
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 1:354 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HARLEYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19438-2422
Mailing Address - Country:US
Mailing Address - Phone:215-256-8616
Mailing Address - Fax:215-256-8473
Practice Address - Street 1:354 MAIN ST
Practice Address - Street 2:
Practice Address - City:HARLEYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19438-2422
Practice Address - Country:US
Practice Address - Phone:215-256-8616
Practice Address - Fax:215-256-8473
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC001328L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA116040Medicare ID - Type Unspecified