Provider Demographics
NPI:1215986294
Name:THIMMEL, WILLIAM F (DC)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:F
Last Name:THIMMEL
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 1:380 N MIDLAND AVE
Mailing Address - Street 2:
Mailing Address - City:SADDLE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07663-5716
Mailing Address - Country:US
Mailing Address - Phone:201-880-7077
Mailing Address - Fax:201-880-7078
Practice Address - Street 1:380 N MIDLAND AVE
Practice Address - Street 2:
Practice Address - City:SADDLE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07663-5716
Practice Address - Country:US
Practice Address - Phone:201-880-7077
Practice Address - Fax:201-880-7077
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-08
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMCO2724111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ147941TMJMedicare ID - Type Unspecified
T73089Medicare UPIN