Provider / Organization | NPI | Date Certified |
---|---|---|
BRENT A UNGAR | 1578517462 | 2022-07-05 |
Brent Ungar [M] graduated in 1986 from National College Of Chiropractic and primarily specializes in Chiropractic.
Brent A Ungar is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1578517462. Registration indicates Brent A Ungar is a provider of services with a specialization in Chiropractic Providers, Chiropractor (Chiropractor: Sports Physician, ) (Chiropractor Sports Physician, Chiropractic Providers) (Chiropractor, ) (Chiropractic Providers, Chiropractor) (Chiropractor, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Chiropractor, Chiropractic Providers)
PECOS ID | 4981501657 |
Entity Type | Individual |
Provider Name | Dr. Brent A Ungar D.C. |
Practice Office Address | 4200 MUNSON ST NW STE B CANTON, OH US |
Practice Office Telephone | 3304930009 |
Practice Office Fax | 3304936659 |
Mailing Address | 4200 MUNSON ST NW STE B CANTON, OH 447182981 US |
Business Telephone | 3304930009 |
Business Fax | 3304936659 |
Code | Practice | License No State |
---|---|---|
111NS0005X | Chiropractic Providers Chiropractor Chiropractor: Sports Physician Chiropractor Sports Physician Chiropractic Providers Chiropractor | 1306
OH |
111N00000X PRIMARY | Chiropractic Providers Chiropractor Chiropractor Speech/Occupational/Physical Therapy/Chiropractor Chiropractor Chiropractic Providers | 1306
OH |
0694244 | MEDICAID | OH |