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Individual

TYLER JOE HAMMELL

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
303 N MAIN ST, CHAMBERLAIN, SD 57325
(605) 234-6968
Mailing address
303 N MAIN ST, CHAMBERLAIN, SD 57325
(605) 234-6968

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
0002927012
WI
111N00000X
Chiropractor
Primary
778
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0003104
BLUE CROSS BLUE SHIELD
SD
01
22022
SIOUX VALLEY HEALTH PLAN
SD
Enumeration date
03/06/2006
Last updated
07/08/2007
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