MEDICARE: TIMOTHY E BROWN D.C.

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	DC009426	PA

General Provider Information

NPI Number	:	1689637688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY E BROWN D.C.

Provider Business Mailing Address
First Line	:	821 W MAIN ST
Second Line	:
City	:	SOMERSET
State	:	PA
Zip	:	15501-1235
Country	:	US
Telephone Number	:	814-279-5752
Fax Number	:

Provider Business Practice Location Address
First Line	:	821 W MAIN ST
Second Line	:
City	:	SOMERSET
State	:	PA
Zip	:	15501-1235
Country	:	US
Telephone Number	:	814-279-5752
Fax Number	:

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

Provider Enumeration Date	:	04/10/2006
Last Update Date	:	01/19/2023

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