Provider Demographics
NPI:1508955238
Name:SLINEY, TYLER J (DC)
Entity Type:Individual
Prefix:MR
First Name:TYLER
Middle Name:J
Last Name:SLINEY
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 1:640 GEORGE WASHINGTON HWY
Mailing Address - Street 2:BUILDING C SUITE 102
Mailing Address - City:LINCOLN
Mailing Address - State:RI
Mailing Address - Zip Code:02865
Mailing Address - Country:US
Mailing Address - Phone:401-305-7960
Mailing Address - Fax:401-305-7961
Practice Address - Street 1:640 GEORGE WASHINGTON HWY
Practice Address - Street 2:BUILDING C SUITE 102
Practice Address - City:LINCOLN
Practice Address - State:RI
Practice Address - Zip Code:02865
Practice Address - Country:US
Practice Address - Phone:401-305-7960
Practice Address - Fax:401-305-7961
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
RIDCP 00551111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program