Healthcare Provider Details

I. General information

NPI: 1295865863
Provider Name (Legal Business Name): DUNKERLEY CHIROPRACTIC CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 07/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7433 WARREN SHARON RD
BROOKFIELD OH
44403-9660
US

IV. Provider business mailing address

PO BOX 531
BROOKFIELD OH
44403-0531
US

V. Phone/Fax

Practice location:
  • Phone: 330-448-1060
  • Fax: 330-448-1574
Mailing address:
  • Phone: 330-448-1060
  • Fax: 330-448-1574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1133
License Number StateOH

VIII. Authorized Official

Name: DR. CHRALES EDWIN DUNKERLEY
Title or Position: PRESIDENT
Credential: D.C.
Phone: 330-448-1060