Provider Demographics
NPI:1457550469
Name:WEST HILLS CHIROPRACTIC GROUP, LLC
Entity type:Organization
Organization Name:WEST HILLS CHIROPRACTIC GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:BUNCKE
Authorized Official - Suffix:X
Authorized Official - Credentials:DC
Authorized Official - Phone:412-264-4504
Mailing Address - Street 1:410 ROUSER RD
Mailing Address - Street 2:BUILDING #1, SUITE 102
Mailing Address - City:MOON TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:15108-2841
Mailing Address - Country:US
Mailing Address - Phone:412-264-4504
Mailing Address - Fax:412-264-4509
Practice Address - Street 1:410 ROUSER RD
Practice Address - Street 2:BUILDING #1, SUITE 102
Practice Address - City:MOON TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:15108-2841
Practice Address - Country:US
Practice Address - Phone:412-264-4504
Practice Address - Fax:412-264-4509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-11
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC008965111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty