Provider Demographics
NPI:1689846537
Name:HUHMANN, RANDAL DEAN (DC)
Entity Type:Individual
Prefix:
First Name:RANDAL
Middle Name:DEAN
Last Name:HUHMANN
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 1:204 E SNEED ST
Mailing Address - Street 2:
Mailing Address - City:CENTRALIA
Mailing Address - State:MO
Mailing Address - Zip Code:65240-1354
Mailing Address - Country:US
Mailing Address - Phone:573-682-2330
Mailing Address - Fax:
Practice Address - Street 1:204 E SNEED ST
Practice Address - Street 2:
Practice Address - City:CENTRALIA
Practice Address - State:MO
Practice Address - Zip Code:65240-1354
Practice Address - Country:US
Practice Address - Phone:573-682-2330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-01
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO005568111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor