Provider Demographics
NPI:1154555381
Name:FINNEGAN, THOMAS FRANCOS IV (DC)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:FRANCOS
Last Name:FINNEGAN
Suffix:IV
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9755 FRIAR DR
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55347-3143
Mailing Address - Country:US
Mailing Address - Phone:952-941-8202
Mailing Address - Fax:
Practice Address - Street 1:9755 FRIAR DR
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55347-3143
Practice Address - Country:US
Practice Address - Phone:952-941-8202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-01
Last Update Date:2009-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5165111N00000X
NYX005900111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor