MEDICARE: DR. TIMOTHY PAUL HINER DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2445	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000203164	OTHER	OH	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457356354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY PAUL HINER DC

Provider Business Mailing Address
First Line	:	2717 S ARLINGTON RD
Second Line	:	STE A
City	:	AKRON
State	:	OH
Zip	:	44312-4725
Country	:	US
Telephone Number	:	330-644-5115
Fax Number	:	330-644-7541

Provider Business Practice Location Address
First Line	:	2717 S ARLINGTON RD
Second Line	:	STE A
City	:	AKRON
State	:	OH
Zip	:	44312-4725
Country	:	US
Telephone Number	:	330-644-5115
Fax Number	:	330-644-7624

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	12/01/2016

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