Provider Demographics
NPI:1710094347
Name:DOZIER, TIMOTHY NEIL (DC)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:NEIL
Last Name:DOZIER
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 1:151 N SUNRISE AVE
Mailing Address - Street 2:SUITE 1016
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-2924
Mailing Address - Country:US
Mailing Address - Phone:916-782-1223
Mailing Address - Fax:916-789-4545
Practice Address - Street 1:151 N SUNRISE AVE
Practice Address - Street 2:SUITE 1016
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-2924
Practice Address - Country:US
Practice Address - Phone:916-782-1223
Practice Address - Fax:916-789-4545
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-24340111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0243401Medicare PIN