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Contact Information

TYREL DETWEILER, D.C.
5740 GETWELL RD BLDG 4A
SOUTHAVEN, MS38672-7361
 Phone: 662-524-3200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for TYREL DETWEILER · (Male)

NPI Number 1619348547
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 10/19/2015
Last updated 10/19/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • TN License # 2894
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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