Provider Demographics
NPI:1265674568
Name:HARRIGAN, TIMOTHY JOSEPH (DC)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:JOSEPH
Last Name:HARRIGAN
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 1:6031 E GRANT RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-2317
Mailing Address - Country:US
Mailing Address - Phone:520-395-5156
Mailing Address - Fax:520-829-7162
Practice Address - Street 1:6031 E GRANT RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-2317
Practice Address - Country:US
Practice Address - Phone:520-395-5156
Practice Address - Fax:520-829-7162
Is Sole Proprietor?:No
Enumeration Date:2009-04-01
Last Update Date:2012-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8026111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ144233OtherFACILITY PTAN
AZZ144232OtherINDIVIDUAL PTAN