Provider Demographics
NPI:1912047911
Name:DUNN, TED J (DC)
Entity type:Individual
Prefix:DR
First Name:TED
Middle Name:J
Last Name:DUNN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1530 N BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-4104
Mailing Address - Country:US
Mailing Address - Phone:740-773-5858
Mailing Address - Fax:740-773-5860
Practice Address - Street 1:1530 N BRIDGE ST
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-4104
Practice Address - Country:US
Practice Address - Phone:740-773-5858
Practice Address - Fax:740-773-5860
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH573111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000117538OtherANTHEM
OH000000117538OtherAAA
OH000000117538OtherANTHEM MANAGED COMP
OH000000117538OtherOHIO OPERATING ENGINEERS
OH000000117538OtherANTHEM BENEFIT ADMIN
OH000000117538OtherONE NATION BENEFIT ADMIN
OH000000117538OtherADMINIS ENTERPRISE, INC
OH000000117538OtherNATIONWIDE
OH000000117538OtherSTATE FARM
OH000000117538OtherTRAVELERS
OH0152294Medicaid
OH000000117538OtherSTATE FARM
OH000000117538OtherANTHEM MANAGED COMP