Provider Demographics
NPI:1578663258
Name:INFUHR, TIMOTHY EDWARD (DC)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:EDWARD
Last Name:INFUHR
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 1:2820 CAMINO DOS RIOS
Mailing Address - Street 2:SUITE 302
Mailing Address - City:NEWBURY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91320-1136
Mailing Address - Country:US
Mailing Address - Phone:805-375-6380
Mailing Address - Fax:805-375-6382
Practice Address - Street 1:2820 CAMINO DOS RIOS
Practice Address - Street 2:SUITE 302
Practice Address - City:NEWBURY PARK
Practice Address - State:CA
Practice Address - Zip Code:91320-1136
Practice Address - Country:US
Practice Address - Phone:805-375-6380
Practice Address - Fax:805-375-6382
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC22718111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor