Provider Demographics
NPI:1912244765
Name:DUNPHY, RYAN FRANCIS (DC)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:FRANCIS
Last Name:DUNPHY
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 1:2025 HUMES ROAD
Mailing Address - Street 2:
Mailing Address - City:JANESVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53545-0275
Mailing Address - Country:US
Mailing Address - Phone:608-754-0148
Mailing Address - Fax:608-754-0217
Practice Address - Street 1:2025 HUMES ROAD
Practice Address - Street 2:
Practice Address - City:JANESVILLE
Practice Address - State:WI
Practice Address - Zip Code:53545-0275
Practice Address - Country:US
Practice Address - Phone:608-754-0148
Practice Address - Fax:608-754-0217
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-14
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4907-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor