Provider Demographics
NPI:1851364905
Name:HAMPTON, TIMOTHY CLAIRE II (DC)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:CLAIRE
Last Name:HAMPTON
Suffix:II
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 1:2848 STATE ROUTE 405 HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:MUNCY
Mailing Address - State:PA
Mailing Address - Zip Code:17756
Mailing Address - Country:US
Mailing Address - Phone:570-546-5331
Mailing Address - Fax:570-546-7607
Practice Address - Street 1:2848 STATE ROUTE 405
Practice Address - Street 2:
Practice Address - City:MUNCY
Practice Address - State:PA
Practice Address - Zip Code:17756-6726
Practice Address - Country:US
Practice Address - Phone:570-546-5331
Practice Address - Fax:570-546-7607
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-09
Last Update Date:2009-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003247L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA623318OtherBLUE SHIELD
PA804818OtherFIRST PRIORITY HEALTH
PA0010542760002Medicaid
PAT72764Medicare UPIN
PA804818OtherFIRST PRIORITY HEALTH