Provider Demographics
NPI:1427307628
Name:MCGINN, THOMAS DONOVAN (DC)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:DONOVAN
Last Name:MCGINN
Suffix:
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:P.O. BOX 549
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:UT
Mailing Address - Zip Code:84751
Mailing Address - Country:US
Mailing Address - Phone:435-387-2468
Mailing Address - Fax:
Practice Address - Street 1:367 NO. 100 W.
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:UT
Practice Address - Zip Code:84751
Practice Address - Country:US
Practice Address - Phone:435-387-2468
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-04
Last Update Date:2012-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT175386-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor