Provider Demographics
NPI:1568601599
Name:DUNHOPEN ADVENTURES, INC.
Entity Type:Organization
Organization Name:DUNHOPEN ADVENTURES, INC.
Other - Org Name:W. R. WEBB, D.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIE
Authorized Official - Middle Name:R
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:D C
Authorized Official - Phone:601-684-2683
Mailing Address - Street 1:134 MARION AVE
Mailing Address - Street 2:
Mailing Address - City:MCCOMB
Mailing Address - State:MS
Mailing Address - Zip Code:39648-3620
Mailing Address - Country:US
Mailing Address - Phone:601-684-2683
Mailing Address - Fax:601-684-6759
Practice Address - Street 1:134 MARION AVE
Practice Address - Street 2:
Practice Address - City:MCCOMB
Practice Address - State:MS
Practice Address - Zip Code:39648-3620
Practice Address - Country:US
Practice Address - Phone:601-684-2683
Practice Address - Fax:601-684-6759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-15
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS523111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00115214Medicaid
MS5235223OtherTHERAPEUTIC MODALITIES
MS302G705556OtherMEDICARE GROUP PTAN
MS5235223OtherTHERAPEUTIC MODALITIES
MS00115214Medicaid