Provider Demographics
NPI:1679624977
Name:HUN, NICHOLAS C (DC)
Entity Type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:C
Last Name:HUN
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 1:150 TANNER RD UNIT F
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-5917
Mailing Address - Country:US
Mailing Address - Phone:864-905-4794
Mailing Address - Fax:
Practice Address - Street 1:150 TANNER RD UNIT F
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-5917
Practice Address - Country:US
Practice Address - Phone:864-990-4752
Practice Address - Fax:864-990-4728
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV859111N00000X
SC3306111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor