Rider, Dylln Thane

Rider, Dylln Thane is an sole proprietor health care provider with primary practice located at 39 S Parish Ave Unit 120 , Johnstown CO 80534-7855. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Rehabilitation, Chiropractic Providers / Chiropractor. Chiropractic Providers / Chiropractor is his primary health care specialty. Rider, Dylln Thane can be contacted via phone (307) 359-2142.

Contact Information

Primary practice address
39 S Parish Ave Unit 120 Johnstown CO 80534-7855
Phone: (307) 359-2142
Fax: (970) 703-8151
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X 0007783 Colorado
Chiropractic Providers / Chiropractor 111N00000X 0007783 Colorado

Profile Details

NPI number 1306349527
LBN Legal business name Rider, Dylln Thane
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2018
Last updated Sep 9th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306349527 NPPES
Colorado Other 853782542 1306349527

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