| Dr Timothy David Deroos, DC | |
|
340 Sunset Dr Nw, Cleveland, TN 37312-5349 | |
| (426) 614-5654 | |
| (423) 614-5645 |
| Full Name | Dr Timothy David Deroos |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 340 Sunset Dr Nw, Cleveland, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851421523 | NPI | - | NPPES |
| 3730366 | Medicaid | TN | |
| 3043835 | Other | TN | BCBS PROVIDER ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC1294 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy David Deroos, DC 340 Sunset Dr Nw, Cleveland, TN 37312-5349 Ph: (426) 614-5654 | Dr Timothy David Deroos, DC 340 Sunset Dr Nw, Cleveland, TN 37312-5349 Ph: (426) 614-5654 |
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