1225021579 NPI number — EAST THOMAS CHIROPRACTIC CENTER PC

Table of content: (NPI 1225021579)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225021579 NPI number — EAST THOMAS CHIROPRACTIC CENTER PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EAST THOMAS CHIROPRACTIC CENTER PC
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:
1225021579
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1802 E THOMAS RD
Provider Second Line Business Mailing Address:
SUITE 16
Provider Business Mailing Address City Name:
PHOENIX
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85016-8134
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
602-265-6893
Provider Business Mailing Address Fax Number:
602-631-9362

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1802 E THOMAS RD
Provider Second Line Business Practice Location Address:
SUITE 16
Provider Business Practice Location Address City Name:
PHOENIX
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85016-8134
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
602-265-6893
Provider Business Practice Location Address Fax Number:
602-631-9362
Provider Enumeration Date:
08/23/2005

Additional Information

Authorized Official

Authorized Official Last Name:
DIEKMANN
Authorized Official First Name:
GARY
Authorized Official Middle Name:
WAYNE
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
602-265-6893

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  1048 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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