Provider Demographics
NPI:1770643108
Name:UNGER, JOSEPH FRANK JR (DC)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:FRANK
Last Name:UNGER
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2821 N BALLAS RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131-2314
Mailing Address - Country:US
Mailing Address - Phone:314-872-9955
Mailing Address - Fax:314-872-3458
Practice Address - Street 1:2821 N BALLAS RD
Practice Address - Street 2:SUITE 105
Practice Address - City:ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63131-2314
Practice Address - Country:US
Practice Address - Phone:314-872-9955
Practice Address - Fax:314-872-3458
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOCE004325111N00000X
FLCH7135111N00000X
CO2988111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOT43329Medicare UPIN
MO30769Medicare ID - Type Unspecified