Provider Demographics
NPI:1396013744
Name:BARANOWSKI, TIMOTHY LAWRENCE (DC)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:LAWRENCE
Last Name:BARANOWSKI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15615 STATE ROAD 23 SUITE D
Mailing Address - Street 2:ALIGN TO HEALTH
Mailing Address - City:GRANGER
Mailing Address - State:IN
Mailing Address - Zip Code:46530-6606
Mailing Address - Country:US
Mailing Address - Phone:574-387-5822
Mailing Address - Fax:574-404-2654
Practice Address - Street 1:15615 STATE ROAD 23 SUITE D
Practice Address - Street 2:ALIGN TO HEALTH LLC
Practice Address - City:GRANGER
Practice Address - State:IN
Practice Address - Zip Code:46530-6606
Practice Address - Country:US
Practice Address - Phone:574-387-5822
Practice Address - Fax:574-404-2654
Is Sole Proprietor?:No
Enumeration Date:2011-12-13
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002547A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor