Healthcare Provider Details

I. General information

NPI: 1891931424
Provider Name (Legal Business Name): BUNCH CHIROPRACTIC OFFICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2009
Last Update Date: 03/08/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8131 W. KLAMATH CT STE H
KENNEWICK WA
99336
US

IV. Provider business mailing address

8131 W. KLAMATH CT STE H
KENNEWICK WA
99336
US

V. Phone/Fax

Practice location:
  • Phone: 509-783-5456
  • Fax: 509-735-9868
Mailing address:
  • Phone: 509-783-5456
  • Fax: 509-735-9868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH00034531
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberCH00034531
License Number StateWA

VIII. Authorized Official

Name: DR. BRYSON J BUNCH
Title or Position: OWNER/DOCTOR
Credential: D.C.
Phone: 509-783-5456