Provider Demographics
NPI:1821773409
Name:SYNERGY CHIROPRACTIC, PLLC
Entity Type:Organization
Organization Name:SYNERGY CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TYGUE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARVIDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-215-2243
Mailing Address - Street 1:4171 W HILLSBORO BLVD STE 9
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-2154
Mailing Address - Country:US
Mailing Address - Phone:561-847-6520
Mailing Address - Fax:
Practice Address - Street 1:4171 W HILLSBORO BLVD STE 9
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-2154
Practice Address - Country:US
Practice Address - Phone:561-847-6520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-20
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NP0017XChiropractic ProvidersChiropractorPediatric ChiropractorGroup - Single Specialty