Provider Demographics
NPI:1316036858
Name:TANGERMAN, RICK (DC)
Entity Type:Individual
Prefix:MR
First Name:RICK
Middle Name:
Last Name:TANGERMAN
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 1:92 BRIGGS DR
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:OH
Mailing Address - Zip Code:44906-3829
Mailing Address - Country:US
Mailing Address - Phone:419-989-4618
Mailing Address - Fax:
Practice Address - Street 1:92 BRIGGS DR
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:OH
Practice Address - Zip Code:44906-3829
Practice Address - Country:US
Practice Address - Phone:419-989-4618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3558111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor