Provider Demographics
NPI:1740434703
Name:AMERICAN CHIROPRACTIC & REHABILITATION LLC
Entity type:Organization
Organization Name:AMERICAN CHIROPRACTIC & REHABILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARDEN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:HUNZIKER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:904-674-0193
Mailing Address - Street 1:8535 BAYMEADOWS RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-7448
Mailing Address - Country:US
Mailing Address - Phone:904-674-0193
Mailing Address - Fax:904-674-0195
Practice Address - Street 1:8535 BAYMEADOWS RD
Practice Address - Street 2:SUITE 1
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-7448
Practice Address - Country:US
Practice Address - Phone:904-674-0193
Practice Address - Fax:904-674-0195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-04
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty