MEDICARE: DR. JOHN PAUL HUNTINGTON D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	4419	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1Z2267	OTHER	AZ	HEALTHNET
2	860916301	OTHER	AZ	UNITED HEALTHCARE
3	147935	OTHER	AZ	AHCCCS
4	AZ0248180	OTHER	AZ	BLUESHIELD BLUECROSS

General Provider Information

NPI Number	:	1841248390
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN PAUL HUNTINGTON D.C.

Provider Business Mailing Address
First Line	:	PO BOX 70
Second Line	:
City	:	ORACLE
State	:	AZ
Zip	:	85623-0070
Country	:	US
Telephone Number	:	520-896-9844
Fax Number	:	520-896-9881

Provider Business Practice Location Address
First Line	:	970 N. DODGE DR.
Second Line	:
City	:	ORACLE
State	:	AZ
Zip	:	85623-0070
Country	:	US
Telephone Number	:	520-896-9844
Fax Number	:	520-896-9881

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	07/08/2007

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