Provider Demographics
NPI:1609668821
Name:GUNTER, JOHN
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:GUNTER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 NAVAJO RD
Mailing Address - Street 2:
Mailing Address - City:LASHMEET
Mailing Address - State:WV
Mailing Address - Zip Code:24733-4500
Mailing Address - Country:US
Mailing Address - Phone:304-369-9109
Mailing Address - Fax:
Practice Address - Street 1:143 NAVAJO RD
Practice Address - Street 2:
Practice Address - City:LASHMEET
Practice Address - State:WV
Practice Address - Zip Code:24733-4500
Practice Address - Country:US
Practice Address - Phone:304-369-9109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-22
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant