Individual
STEPHEN LOUIS TYKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
220 MADISON AVE, SKOWHEGAN, ME 04976-3009
(207) 474-0877
(207) 474-0878
Mailing address
PO BOX 3009, SKOWHEGAN, ME 04976-3009
(207) 474-0877
(207) 474-0878
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR672
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100042
ANTHEM
ME
05
—
1201B0000
—
ME
Enumeration date
08/29/2006
Last updated
07/08/2007
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