Provider Demographics
NPI:1669073649
Name:FERRIS, HUNTER (DC)
Entity type:Individual
Prefix:
First Name:HUNTER
Middle Name:
Last Name:FERRIS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 507
Mailing Address - Street 2:
Mailing Address - City:SENECA
Mailing Address - State:PA
Mailing Address - Zip Code:16346-0507
Mailing Address - Country:US
Mailing Address - Phone:814-677-9233
Mailing Address - Fax:814-493-6221
Practice Address - Street 1:3178 STATE ROUTE 257
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:PA
Practice Address - Zip Code:16346-2428
Practice Address - Country:US
Practice Address - Phone:814-677-9233
Practice Address - Fax:814-493-6221
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-05
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC011594111N00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program