Individual
DR. JOHNATHAN EDWARD TINSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
214 N PEARL ST, WAYNE, NE 68787-1902
(402) 375-3000
Mailing address
214 N PEARL ST, WAYNE, NE 68787-1902
(402) 375-3000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1835
NE
111N00000X
Chiropractor
2684
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0844J
BLUE CROSS BLUE SHIELD
NC
01
—
2454074
MEDICARE PROVIDER NUMBER
NC
05
—
89011Y3
—
NC
Enumeration date
09/20/2006
Last updated
03/11/2015
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