Bratvold, Tyren J
Bratvold, Tyren J is an individual health care provider with primary practice located at 628 3Rd St Se , Puyallup WA 98372-3208. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. Bratvold, Tyren J can be contacted via phone (253) 845-6636.Contact Information
Primary practice address
628 3Rd St Se
Puyallup WA 98372-3208
Phone: (253) 845-6636
Fax: (253) 770-1152
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Rehabilitation | 111NR0400X | CH00003571 | Washington |
Profile Details
| NPI number | 1629290705 |
|---|---|
| LBN Legal business name | Bratvold, Tyren J |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2007 |
| Last updated | Dec 14th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629290705 | NPPES |
| Washington | MEDICAID | 2026490 |
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