Provider Demographics
NPI:1497706592
Name:TIMOTHY R KAMERMAN DC PA
Entity Type:Organization
Organization Name:TIMOTHY R KAMERMAN DC PA
Other - Org Name:CHIROPRACTIC CARE CLINIC
Other - Org Type:Other Name
Authorized Official - Title/Position:DOCTOR AND OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:R
Authorized Official - Last Name:KAMERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC, PA
Authorized Official - Phone:501-268-2273
Mailing Address - Street 1:2924 HAWKINS DR
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-4802
Mailing Address - Country:US
Mailing Address - Phone:501-268-2273
Mailing Address - Fax:501-268-6969
Practice Address - Street 1:2924 HAWKINS DR
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-4802
Practice Address - Country:US
Practice Address - Phone:501-268-2273
Practice Address - Fax:501-268-6969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-13
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1142111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR7127560OtherAETNA # DR. KAMERMAN
ARP00182837OtherRAIL RD MEDCARE- WARD
AR667519OtherUNITED HEALTH CARE- WARD
AR1902804743OtherNAT PROVIDER #- KAMERMAN
AR7207571OtherAETNA # DR. WARD
ARDA6266OtherGROUP # RAIL RD MEDCARE
AR6567854OtherCIGNA # FOR DR. WARD
AR7435226OtherCIGNA # DR. KAMERMAN
AR5C010OtherBLUE CROSS BS GROUP #
ARP00065498OtherRAIL RD MEDCARE-KAMERMAN
AR1366440182OtherNATIONAL PROVIDER #- WARD
AR59159OtherBLUE CROSS BS #- KAMERMAN
AR4420124OtherUNITED HEALTH CARE-KAMERM
AR5X654OtherBLUE CROSS BS #- WARD
ARDA6266OtherGROUP # RAIL RD MEDCARE
AR5X654OtherBLUE CROSS BS #- WARD
ART20590Medicare UPIN
AR667519OtherUNITED HEALTH CARE- WARD