Randall Myron Dunkel, CHIROPRACTOR
Individual provider Active NPI Chiropractor · Richmond, MI
NPI 1174638696 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1174638696
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- RD004021 (MI)
- Practice address
- 68071 S Main St
Richmond, MI 48062-1347 - Phone
- (586) 727-2111
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RD004021 | MI | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | RD004021 | MI | Yes |
Addresses
Primary practice location
68071 S Main St
Richmond, MI 48062-1347
Mailing address
1510 Vine St
Saint Clair, MI 48079-5516
Phone (810) 329-3104
Other providers in Richmond, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.