Doctor Name: | DR. TIMOTHY ADAM DECUBELLIS |
NPI Number: | 1326286949 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | CH9644 |
Business Practice Address: | 7337 Little Rd New Port Richey, FL - 346545521 |
Business Phone Number: | 7278424476 |
Business Fax Number: | |
Mailing Address: | 7337 Little Rd, NEW PORT RICHEY |
State: | FL |
Postal Code: | 346545521 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/04/2009 |
NPI Last Update Date: | 05/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CH9644 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |