Provider Demographics
NPI:1497305346
Name:TUININGA, RILEY K (DC)
Entity Type:Individual
Prefix:MR
First Name:RILEY
Middle Name:K
Last Name:TUININGA
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 1:200 BIDDLE AVENUE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-3966
Mailing Address - Country:US
Mailing Address - Phone:302-832-3369
Mailing Address - Fax:302-832-5854
Practice Address - Street 1:200 BIDDLE AVENUE
Practice Address - Street 2:SUITE 204
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-3966
Practice Address - Country:US
Practice Address - Phone:302-832-3369
Practice Address - Fax:302-832-5854
Is Sole Proprietor?:No
Enumeration Date:2019-09-12
Last Update Date:2019-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEF1-0000997111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor