1457535429 NPI number — CHRISTOPHER A THOMAS DC PS

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457535429 NPI number — CHRISTOPHER A THOMAS DC PS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHRISTOPHER A THOMAS DC PS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1457535429
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/04/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
205 LAURELHURST DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEWPORT
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
99156-8830
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
302 PARK STREET
Provider Second Line Business Practice Location Address:
ROOM B
Provider Business Practice Location Address City Name:
METALINE FALLS
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99153
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-671-0284
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/26/2007

Additional Information

Authorized Official

Authorized Official Last Name:
THOMAS
Authorized Official First Name:
CHRISTOPHER
Authorized Official Middle Name:
ALLAN
Authorized Official Title or Position:
CHIROPRACTOR/OWNER
Authorized Official Telephone Number:
509-671-0284

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  CH00034126 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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