Provider Demographics
NPI:1194764332
Name:CHALFANT, TYLER WAYNE (DC)
Entity type:Individual
Prefix:DR
First Name:TYLER
Middle Name:WAYNE
Last Name:CHALFANT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 SMITH DR
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:IN
Mailing Address - Zip Code:46706-3655
Mailing Address - Country:US
Mailing Address - Phone:260-925-0357
Mailing Address - Fax:260-925-6074
Practice Address - Street 1:421 SMITH DR
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:IN
Practice Address - Zip Code:46706-3655
Practice Address - Country:US
Practice Address - Phone:260-925-0357
Practice Address - Fax:260-925-6074
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001701A111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic