Provider Demographics
NPI:1386815470
Name:MCCUEN, TY ALAN ALEXANDER (BS, DC)
Entity Type:Individual
Prefix:DR
First Name:TY ALAN
Middle Name:ALEXANDER
Last Name:MCCUEN
Suffix:
Gender:M
Credentials:BS, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 DIVISION ST STE E
Mailing Address - Street 2:
Mailing Address - City:COLDWATER
Mailing Address - State:MI
Mailing Address - Zip Code:49036-2914
Mailing Address - Country:US
Mailing Address - Phone:517-279-2342
Mailing Address - Fax:
Practice Address - Street 1:200 E CHICAGO ST
Practice Address - Street 2:
Practice Address - City:COLDWATER
Practice Address - State:MI
Practice Address - Zip Code:49036-2005
Practice Address - Country:US
Practice Address - Phone:989-820-6810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-17
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009454111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI950C210530OtherBCBS