Individual
DR. JOHN E TYNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
302 W ANDERSON ST, ELMA, WA 98541-1308
(360) 482-5110
Mailing address
PO BOX 1308, 302 W ANDERSON ST, ELMA, WA 98541-1308
(360) 482-5110
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH835
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13128
DEPARTMENT OF LABOR & IND
WA
01
—
TY0034
REGENCE BLUE SHIELD
WA
Enumeration date
02/20/2007
Last updated
07/09/2007
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