Provider Demographics
NPI:1811983596
Name:STRUNK, JOHN CHRISTOPHER
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:CHRISTOPHER
Last Name:STRUNK
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8308
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36304-0308
Mailing Address - Country:US
Mailing Address - Phone:334-673-8869
Mailing Address - Fax:334-673-8851
Practice Address - Street 1:201 REGENCY CT
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36305-1179
Practice Address - Country:US
Practice Address - Phone:334-673-8869
Practice Address - Fax:334-673-8851
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-27
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL260852084A0401X, 2084P0805X
TNMD00000571822084P0800X
GA772382084P0800X, 2084P0805X
FLME105502084P0800X, 2084P0805X
AL000260852084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL188060Medicaid
FLQ6YNLOtherBCBS
FL010838800Medicaid
AL19C1ROtherNEW DIRECTIONS
AL229432Medicaid
601701400OtherWORKERS COMPENSATION
11498415OtherCAQH
FL50198OtherBCBS
523314OtherVALUE OPTIONS
51531276OtherABBM
FL1080690OtherBEACON
GA407098142CMedicaid
83-0392317OtherTAX ID
AL51521565OtherBCBS
AL009966175Medicaid
AL188102Medicaid
AL529920780Medicaid
GA407098142AMedicaid
FL914438200Medicaid