Timothy John Tersigni, D.C.
Individual provider Active NPI Chiropractor · Fowlerville, MI
NPI 1982671012 · NPPES record last updated Mar 19, 2019
Key facts
- NPI
- 1982671012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2301008012 (MI)
- Practice address
- 746 S Grand St
Fowlerville, MI 48836-8901 - Phone
- (517) 223-9276
- Fax
- (517) 223-9278
- NPI assigned
- Mar 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
746 S Grand Ave
Fowlerville, MI 48836-8901
Phone (517) 223-9276
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060412000108 | MI | Practitioner - Chiropractic | 3577572015 | Practice locations: Fowlerville, MI |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301008012 | MI | MD | Nutrition Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Health Center of Fowlerville | Neurology | Current |
Accepting new patients |
| Fowlerville Chiropractic Center | Chiropractor | Past | Accepting new patients |
Locations
103 W Grand River Ave
Fowlerville, MI 48836
Phone (517) 230-1751
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | 2301008012 | MI | |
| Nutrition Chiropractor | 111NN1001X | 2301008012 | MI | |
| Radiology Chiropractor | 111NR0200X | 2301008012 | MI | |
| Chiropractor | 111N00000X | 2301008012 | MI | Yes |
Addresses
Primary practice location
746 S Grand St
Fowlerville, MI 48836-8901
Mailing address
PO Box 1126
Fowlerville, MI 48836-1126
Phone (517) 223-9276
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950D750420 | Other | MI | BCBS PIN |
Other providers in Fowlerville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.