Provider Demographics
NPI:1841516648
Name:BUNCH, ANN (DC)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:BUNCH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 S GOODWILL ST
Mailing Address - Street 2:
Mailing Address - City:MYERSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17067-1219
Mailing Address - Country:US
Mailing Address - Phone:717-866-7773
Mailing Address - Fax:
Practice Address - Street 1:98 S GOODWILL ST
Practice Address - Street 2:
Practice Address - City:MYERSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17067-1219
Practice Address - Country:US
Practice Address - Phone:717-866-7773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-19
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010204111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor