1497706592 NPI number — TIMOTHY R KAMERMAN DC PA

Table of content: (NPI 1497706592)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497706592 NPI number — TIMOTHY R KAMERMAN DC PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TIMOTHY R KAMERMAN DC PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
CHIROPRACTIC CARE CLINIC
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497706592
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/12/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2924 HAWKINS DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SEARCY
Provider Business Mailing Address State Name:
AR
Provider Business Mailing Address Postal Code:
72143-4802
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
501-268-2273
Provider Business Mailing Address Fax Number:
501-268-6969

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2924 HAWKINS DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SEARCY
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72143-4802
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
501-268-2273
Provider Business Practice Location Address Fax Number:
501-268-6969
Provider Enumeration Date:
05/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
KAMERMAN
Authorized Official First Name:
TIMOTHY
Authorized Official Middle Name:
R
Authorized Official Title or Position:
DOCTOR AND OWNER
Authorized Official Telephone Number:
501-268-2273

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  1142 , registered in the state of AR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 7127560 . This is a "AETNA # DR. KAMERMAN" identifier , issued by the state of ( AR ) . This identifiers is of the category "OTHER".
  • Identifier: P00182837 . This is a "RAIL RD MEDCARE- WARD" identifier , issued by the state of ( AR ) . This identifiers is of the category "OTHER".
  • Identifier: 667519 . This is a "UNITED HEALTH CARE- WARD" identifier , issued by the state of ( AR ) . This identifiers is of the category "OTHER".
  • Identifier: 1902804743 . This is a "NAT PROVIDER #- KAMERMAN" identifier , issued by the state of ( AR ) . This identifiers is of the category "OTHER".
  • Identifier: 7207571 . This is a "AETNA # DR. WARD" identifier , issued by the state of ( AR ) . This identifiers is of the category "OTHER".
  • Identifier: DA6266 . This is a "GROUP # RAIL RD MEDCARE" identifier , issued by the state of ( AR ) . This identifiers is of the category "OTHER".
  • Identifier: 6567854 . This is a "CIGNA # FOR DR. WARD" identifier , issued by the state of ( AR ) . This identifiers is of the category "OTHER".
  • Identifier: 7435226 . This is a "CIGNA # DR. KAMERMAN" identifier , issued by the state of ( AR ) . This identifiers is of the category "OTHER".
  • Identifier: 5C010 . This is a "BLUE CROSS BS GROUP #" identifier , issued by the state of ( AR ) . This identifiers is of the category "OTHER".
  • Identifier: P00065498 . This is a "RAIL RD MEDCARE-KAMERMAN" identifier , issued by the state of ( AR ) . This identifiers is of the category "OTHER".
  • Identifier: 1366440182 . This is a "NATIONAL PROVIDER #- WARD" identifier , issued by the state of ( AR ) . This identifiers is of the category "OTHER".
  • Identifier: 59159 . This is a "BLUE CROSS BS #- KAMERMAN" identifier , issued by the state of ( AR ) . This identifiers is of the category "OTHER".
  • Identifier: 4420124 . This is a "UNITED HEALTH CARE-KAMERM" identifier , issued by the state of ( AR ) . This identifiers is of the category "OTHER".
  • Identifier: 5X654 . This is a "BLUE CROSS BS #- WARD" identifier , issued by the state of ( AR ) . This identifiers is of the category "OTHER".




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