MEDICARE: DR. TYLER INFIELD D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	4336	OH

General Provider Information

NPI Number	:	1164766044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TYLER INFIELD D.C.

Provider Business Mailing Address
First Line	:	6177 RT. 193
Second Line	:	P.O. BOX 52
City	:	KINGSVILLE
State	:	OH
Zip	:	44048
Country	:	US
Telephone Number	:	440-224-0680
Fax Number	:	440-224-2888

Provider Business Practice Location Address
First Line	:	6177 LAKE ST
Second Line	:
City	:	KINGSVILLE
State	:	OH
Zip	:	44048-9703
Country	:	US
Telephone Number	:	440-224-0680
Fax Number	:	440-224-2888

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2012
Last Update Date	:	11/16/2012

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Directions to “ DR. TYLER INFIELD D.C.” Practice Location

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