Provider Demographics
NPI:1033161369
Name:WILLIAMS, TIMOTHY JOSEPH (DC)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:JOSEPH
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33595 7 MILE RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-3077
Mailing Address - Country:US
Mailing Address - Phone:248-473-6491
Mailing Address - Fax:248-473-6475
Practice Address - Street 1:33595 7 MILE RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-3077
Practice Address - Country:US
Practice Address - Phone:248-473-6491
Practice Address - Fax:248-473-6475
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301005001111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4719420Medicaid
MIP83165OtherBCN
MI150707OtherSELECTCARE
MI950H25137OtherBCBSM
MI150707OtherSELECTCARE
MI4719420Medicaid