Provider Demographics
NPI:1538363429
Name:TINKER, DAVID LEHMAN (DC)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:LEHMAN
Last Name:TINKER
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 1:2524 39TH AVE N
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55412-1801
Mailing Address - Country:US
Mailing Address - Phone:612-522-9536
Mailing Address - Fax:612-522-9537
Practice Address - Street 1:2524 39TH AVE N
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55412-1801
Practice Address - Country:US
Practice Address - Phone:612-522-9536
Practice Address - Fax:612-522-9537
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4244111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic