Provider Demographics
NPI:1437313327
Name:TARNICK, RYAN JAMES (DC)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:JAMES
Last Name:TARNICK
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 1:6016 S. 87TH ST.
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68526-4470
Mailing Address - Country:US
Mailing Address - Phone:402-483-2900
Mailing Address - Fax:
Practice Address - Street 1:6016 S. 87TH ST.
Practice Address - Street 2:SUITE 100
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68526-4470
Practice Address - Country:US
Practice Address - Phone:402-483-2900
Practice Address - Fax:402-419-2901
Is Sole Proprietor?:No
Enumeration Date:2008-07-10
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1523111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor