Individual
DR. TYSON R BOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
120 OLD CAMDEN RD, SUITE C, CAMDEN, DE 19934-5523
(302) 531-1900
(302) 531-1901
Mailing address
120 OLD CAMDEN RD, SUITE C, CAMDEN, DE 19934-5523
(302) 531-1900
(302) 531-1901
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
F1-0000600
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510340396
BLUE CROSS BLUE SHIELD
DE
01
—
510411125
COVENTRY, PIP, OTHER
DE
Enumeration date
03/09/2007
Last updated
03/20/2015
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