Provider Demographics
NPI:1194826727
Name:FRENCH, TIMOTHY M (DC)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:M
Last Name:FRENCH
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 1:6166 N RIDGE
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:OH
Mailing Address - Zip Code:44057
Mailing Address - Country:US
Mailing Address - Phone:440-428-1755
Mailing Address - Fax:440-428-1671
Practice Address - Street 1:6166 N RIDGE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:OH
Practice Address - Zip Code:44057
Practice Address - Country:US
Practice Address - Phone:440-428-1755
Practice Address - Fax:440-428-1671
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3208111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000210155OtherANTHEM
OH2330892Medicaid
U87219Medicare UPIN
OHFR4060952Medicare ID - Type Unspecified