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NPI Code Detail

MEDICARE: TIMOTHY C HER

MEDICARE: TIMOTHY C HER
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1639205321
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY C HER
Provider Business Mailing Address
First Line : 930 G ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95814-1802
Country : US
Telephone Number : 916-441-2933
Fax Number : 916-441-6896
Provider Business Practice Location Address
First Line : 930 G ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95814-1802
Country : US
Telephone Number : 916-441-2933
Fax Number : 916-441-6896
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2007
Last Update Date : 07/08/2007

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Directions to “ TIMOTHY C HER ” Practice Location

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