Provider Demographics
NPI:1811584964
Name:CHIPPS, TIMBER
Entity Type:Individual
Prefix:
First Name:TIMBER
Middle Name:
Last Name:CHIPPS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20370 STATE ROUTE 60
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:OH
Mailing Address - Zip Code:45715-5030
Mailing Address - Country:US
Mailing Address - Phone:740-706-4554
Mailing Address - Fax:
Practice Address - Street 1:20370 STATE ROUTE 60
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:OH
Practice Address - Zip Code:45715-5030
Practice Address - Country:US
Practice Address - Phone:740-706-4554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-23
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant