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Individual

DR. CHAD JASON HUNGERFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2218 DERDALL DR, BROOKINGS, SD 57006-2851
(605) 697-5145
(605) 697-5135
Mailing address
2218 DERDALL DR, BROOKINGS, SD 57006-2851
(605) 697-5145
(605) 697-5135

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
879SD
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0007727
BCBS OF SD PROVIDER NUMBE
SD
01
4245
SVHP PROVIDER NUMBER
SD
Enumeration date
01/02/2007
Last updated
01/28/2008
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