Timothy Shane Vincent (NPI# 1396096129, PAC ID# 7618232281) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1396096129 |
| PAC ID by PECOS | 7618232281 |
| Professional Enrollment ID | I20180531002417 |
| Full Name | Timothy Shane Vincent |
| Organization Legal Name | ADVANCED WELLNESS CHIROPRACTIC, PLLC |
| Address |
135 Main Cross St Hawesville KY 42348 |
| Phone Number | 2709271000 |
| Gender | M |
| Medical School | LIFE CHIROPRACTIC COLLEGE |
| Graduation Year | 2012 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 7911083324 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 135 Main Cross St, Hawesville, KY 42348 | 2709271000 | ADVANCED WELLNESS CHIROPRACTIC, PLLC |
| Organization Legal Name | ADVANCED WELLNESS CHIROPRACTIC, PLLC |
| Physicians | 1 |
| Street Address |
135 MAIN CROSS ST |
| City | HAWESVILLE |
| State | KY |
| Zip | 42348 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas A Brockman | Chiropractic | 135 Main Cross St, Hawesville, KY 42348 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jayna R Jones | Family Medicine | Jones Medical Corp | 35 Joshua Ln, Hawesville, KY 42348 |
| Jessica L Estes | Nurse Practitioner | Estes Behavioral Health LLC | 227 Monroe St, Hawesville, KY 42348-2543 |
| Kimberly Diane Powell | Nurse Practitioner | Green River District Health Department | 175 Harrison St, Hawesville, KY 42348-2589 |
| Stephanie E Johnson | Registered Dietitian Or Nutrition Professional | Green River District Health Department | 175 Harrison St, Hawesville, KY 42348-2589 |
| James E Hughes | Physical Therapy | Rehabilitation and Performance Institute Psc | 117 Eastwind Ct, Hawesville, KY 42348-6736 |
| Aubrey Smith Harlan | Optometry | Emmick Eye Care, Pllc | 123 Eastwind Ct, Hawesville, KY 42348-6736 |
| Kathryn Schwartzkopf-phifer | Physical Therapy | Rehabilitation and Performance Institute Psc | 117 Eastwind Ct, Hawesville, KY 42348-6736 |
| City | HAWESVILLE |
| Zip Code | 42348 |
| Specialty | CHIROPRACTIC |
| City + Specialty | HAWESVILLE + CHIROPRACTIC |
Please comment or provide details below to improve the information on Timothy Shane Vincent.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.