DR. TIMOTHY ROBERT REISECK D.C. NPI 1558436170

NPI Information

NPI: 1558436170
Provider Name: DR. TIMOTHY ROBERT REISECK, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
2254 FLOYD AVE STE B
MODESTO, CA
ZIP 95355
Phone: (209) 551-7731
Get Directions

DR. Timothy Robert Reiseck, D.C. is a chiropractor in Modesto, CA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Timothy Robert Reiseck, D.C. NPI is 1558436170. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2254 FLOYD AVE STE B
MODESTO, CA
ZIP 95355-602
Phone: (209) 551-7731
Fax: (209) 551-7740

The enumeration date for this NPI number is 11/21/2006 and was last updated on 1/11/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		DC 25373	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DC 0253730	MEDICARE UPIN	CALIFORNIA
2	DC 0253730	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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