Provider Demographics
NPI:1952438871
Name:WEEKS, TIMOTHY MARTIN (DC)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:MARTIN
Last Name:WEEKS
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 1:3985 MEDINA RD # 220
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-5968
Mailing Address - Country:US
Mailing Address - Phone:330-764-3434
Mailing Address - Fax:330-725-8746
Practice Address - Street 1:3985 MEDINA RD # 220
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-5968
Practice Address - Country:US
Practice Address - Phone:330-764-3434
Practice Address - Fax:330-725-8746
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3529111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
P002235525OtherRAILROAD MEDICARE
P002235525OtherRAILROAD MEDICARE
OHWE4152541Medicare PIN