Individual
DR. RICHARD OWEN TYNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
900 WILSON STREET, ELIZABETH CITY, NC 27909
(252) 338-4137
(252) 338-0366
Mailing address
900 WILSON STREET, ELIZABETH CITY, NC 27909
(252) 338-4137
(252) 338-0366
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1930
NC
111N00000X
Chiropractor
4218
CO
111N00000X
Chiropractor
6001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8908863
—
NC
Enumeration date
08/26/2006
Last updated
06/30/2010
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