MEDICARE: DR. ERIC VONGUNTEN 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	3695	OH

General Provider Information

NPI Number	:	1124059944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC VONGUNTEN D.C.

Provider Business Mailing Address
First Line	:	911 GRAHAM RD
Second Line	:	SUITE 66
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44221-1169
Country	:	US
Telephone Number	:	330-945-4700
Fax Number	:	330-945-4700

Provider Business Practice Location Address
First Line	:	911 GRAHAM RD
Second Line	:	SUITE 66
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44221-1169
Country	:	US
Telephone Number	:	330-945-4700
Fax Number	:	330-945-4700

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

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. ERIC VONGUNTEN D.C.” Practice Location

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