Clark, Tyler Keith

Clark, Tyler Keith is an sole proprietor health care provider with primary practice located at 819 N Harbor Dr Ste 100 , Redondo Beach CA 90277-2086. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Clark, Tyler Keith can be contacted via phone (712) 208-0062.

Contact Information

Primary practice address
819 N Harbor Dr Ste 100 Redondo Beach CA 90277-2086
Phone: (712) 208-0062
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 33482 California

Profile Details

NPI number 1730540295
LBN Legal business name Clark, Tyler Keith
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 11th, 2016
Last updated Sep 13th, 2016 - about 10 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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