Provider Demographics
NPI:1720165517
Name:THOMAS, DAVID CHRISTOPHER (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:CHRISTOPHER
Last Name:THOMAS
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 1:558 N 3 BS AND K RD
Mailing Address - Street 2:
Mailing Address - City:SUNBURY
Mailing Address - State:OH
Mailing Address - Zip Code:43074-9552
Mailing Address - Country:US
Mailing Address - Phone:740-816-0403
Mailing Address - Fax:
Practice Address - Street 1:104 W WILLIAM ST
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-2305
Practice Address - Country:US
Practice Address - Phone:740-362-8800
Practice Address - Fax:740-362-8804
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3040111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2204180Medicaid
OH7685163OtherAETNA
OH9374511OtherMEDICARE PTAN
OH000000568123OtherANTHEM BLUE CROSS & BLUE SHIELD PIN NUMBER
2506318OtherMEDICAID GROUP NUMBER
OH000008034-00OtherBUREAU OF WORKER'S COMPENSATION
OHP00754203OtherRAILROAD MEDICARE
2506318OtherMEDICAID GROUP NUMBER