Provider Demographics
NPI:1477885861
Name:COFFIN, TIMOTHY HOWARD (DC)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:HOWARD
Last Name:COFFIN
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 1:26 BATH ROAD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011
Mailing Address - Country:US
Mailing Address - Phone:207-725-4222
Mailing Address - Fax:
Practice Address - Street 1:26 BATH RD
Practice Address - Street 2:SUITE 1
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011
Practice Address - Country:US
Practice Address - Phone:207-725-4222
Practice Address - Fax:207-319-7046
Is Sole Proprietor?:No
Enumeration Date:2010-02-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR2038111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor