Provider Demographics
NPI:1164563771
Name:MYNSTER, DONALD LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:LEE
Last Name:MYNSTER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:DONALD L. MYNSTER DC PC
Mailing Address - Street 2:248 A JACKSON MEADOWS DR
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076
Mailing Address - Country:US
Mailing Address - Phone:615-889-0333
Mailing Address - Fax:615-391-4137
Practice Address - Street 1:248 A JACKSON MEADOWS DR
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076
Practice Address - Country:US
Practice Address - Phone:615-889-0333
Practice Address - Fax:615-391-4137
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2013-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC0000000474111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3042880OtherBCBST
4286872OtherUNITED HEALTH CARE
TN3042880OtherBCBST
3673818Medicare ID - Type Unspecified