Provider Demographics
NPI:1326480856
Name:PINSTEIN, TYLER ROSS (DC)
Entity Type:Individual
Prefix:DR
First Name:TYLER
Middle Name:ROSS
Last Name:PINSTEIN
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 1:130 SYLVAN ST
Mailing Address - Street 2:UNIT 6
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-5505
Mailing Address - Country:US
Mailing Address - Phone:978-762-6200
Mailing Address - Fax:978-762-6206
Practice Address - Street 1:130 SYLVAN ST
Practice Address - Street 2:UNIT 6
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-5505
Practice Address - Country:US
Practice Address - Phone:978-762-6200
Practice Address - Fax:978-762-6206
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-25
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3426111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor