Tietjen, Stephen Ray

Tietjen, Stephen Ray is an sole proprietor health care provider with primary practice located at 5636 Havana Dr , North Richland Hills TX 76180-6558. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Rehabilitation. Chiropractic Providers / Rehabilitation is his primary health care specialty. Tietjen, Stephen Ray can be contacted via phone (817) 991-6428.

Contact Information

Primary practice address
5636 Havana Dr North Richland Hills TX 76180-6558
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 12018 Texas
Chiropractic Providers / Rehabilitation 111NR0400X 12018 Texas

Profile Details

NPI number 1316201619
LBN Legal business name Tietjen, Stephen Ray
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2012
Last updated Jul 2nd, 2012 - about 14 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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