| Christopher Timmer Dcpa | |
|
15203 W 87th Street Pkwy Lenexa KS 66219-1409 | |
| (913) 307-0150 | |
| (913) 599-1548 |
| Full Name | Christopher Timmer Dcpa |
|---|---|
| Speciality | Clinic/Center |
| Location | 15203 W 87th Street Pkwy, Lenexa, Kansas |
| Authorized Official Name and Position | Christopher Timmer (CEO) |
| Authorized Official Contact | 9133070150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Timmer Dcpa 15203 W 87th Street Pkwy Lenexa KS 66219-1409 Ph: (913) 307-0150 | Christopher Timmer Dcpa 15203 W 87th Street Pkwy Lenexa KS 66219-1409 Ph: (913) 307-0150 |
| NPI Number | 1588855894 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 10/25/2022 |
| Medicare PECOS PAC ID | 5092801316 |
|---|---|
| Medicare Enrollment ID | O20071018000308 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588855894 | NPI | - | NPPES |
| 372575 | Other | KS | BCBS FOR STATE EMPLOYEES |
| P00182351 | Other | KS | RAILROAD MEDICARE # |
| 28235029 | Other | KS | BCBS PROVIDER NUMBER |
| N840000 | Other | KS | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Christopher Timmer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1548370471 PECOS PAC ID: 3678660503 Enrollment ID: I20120225000149 |
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