Timothy P. Doolittle, DC

Individual provider Active NPI Chiropractor · Foresthill, CA

NPI 1700966827 · NPPES record last updated Sep 29, 2021

Key facts

NPI
1700966827
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
DC25320 (CA)
Practice address
24005 Racetrack St
Foresthill, CA 95631-9406
Phone
(530) 367-5133
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
DC25320CAMDChiropractor
25320CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald W. Berg Chiropractic, Inc. Chiropractor Past
since Oct 5, 2021
Accepting new patients
Packard Health Services, LLC Past
since Oct 5, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC25320 CA Yes

Addresses

Primary practice location

24005 Racetrack St
Foresthill, CA 95631-9406

Mailing address

24005 Racetrack St
Foresthill, CA 95631-9406
Phone (530) 367-5133

Other providers in Foresthill, CA

All providers in Foresthill, CA · Chiropractor in California

Sources for this page

Verify at the official NPI Registry.