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Tim Dennis Treanor

Chiropractor

Chiropractic Providers

4161 Capital Drive, Rocky Mount, NC 27804-3128

PECOS Enrollment

Based on the most recent information from CMS, provider Tim Dennis Treanor does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1154362952
Provider Type
Individual
Full Name
Treanor, Tim Dennis
Title
Dr.
Credential
DC

Gender
Male
Sole Proprietor
No
Enumeration Date
6/10/2006
Last Updated
4/22/2013

Contact Information

Practice Location

4161 Capital Drive, Rocky Mount, NC 27804-3128

(252) 903-3103

(252) 210-3489

Mailing Location

4161 Capital Drive, Rocky Mount, NC 27804-3128

(252) 903-3103

(252) 210-3489

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License NC2457 North Carolina

Provider Identifiers

ID	Description	Issuer
ID 1154362952	Description Medicaid	Issuer Unlisted North Carolina
ID 0828Y	Description Other	Issuer BCBS North Carolina
ID 1154362952	Description Other	Issuer CNC/MC/MD North Carolina
ID 890828Y	Description Medicaid	Issuer Unlisted North Carolina

Tim Dennis Treanor

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Peterson, Tiffany Lynn

Clark, Steven Alan

Hammer, John Paul

Martini Chiropractic Center Inc.

Mcdermott Miller, Julia Renee

Hammer Chiropractic Inc

Treanor Chiropractic Inc

Rocky Mount Chiropractic, Pllc

Miller Chiropractic Of Rocky Mount, Pc

Martini, Dale