Doctor Name: | DR. BARTHOLMAE TYRRELL |
NPI Number: | 1447333844 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | 0P30980 |
Business Practice Address: | 18605 W Us 12 Suite 1 New Buffalo, MI - 491171830 |
Business Phone Number: | 2694691932 |
Business Fax Number: | 2694691932 |
Mailing Address: | 2308 Fairway Drive, LONG BEACH |
State: | IN |
Postal Code: | 463601555 |
Phone Number: | 2198778920 |
Fax Number: | 2694691932 |
NPI Enumeration Date: | 10/23/2006 |
NPI Last Update Date: | 12/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 0P30980 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |