Timothy Fleming, DC
Individual provider Active NPI Chiropractor · Vandergrift, PA
NPI 1124455480 · NPPES record last updated Oct 2, 2013
Key facts
- NPI
- 1124455480
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC010073 (PA)
- Practice address
- 275 Sherman Ave
Vandergrift, PA 15690-1147 - Phone
- (303) 444-3833
- NPI assigned
- Oct 2, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC010073 | PA | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC010073 | PA | Yes |
Addresses
Primary practice location
275 Sherman Ave
Vandergrift, PA 15690-1147
Mailing address
275 Sherman Ave
Vandergrift, PA 15690-1147
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All providers in Vandergrift, PA · Chiropractor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.