Healthcare Provider Details

I. General information

NPI: 1548719263
Provider Name (Legal Business Name): TBI TREATMENTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2016
Last Update Date: 09/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 WEST RD STE 102
TOWSON MD
21204-2388
US

IV. Provider business mailing address

22 WEST RD STE 102
TOWSON MD
21204-2388
US

V. Phone/Fax

Practice location:
  • Phone: 410-256-8511
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY BUCHANAN
Title or Position: BILLING MANGER
Credential:
Phone: 724-349-5800