Provider Demographics
NPI:1033394473
Name:THOMAS, STEPHEN E (DC)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:E
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 1:7330 NW 5TH ST
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-1605
Mailing Address - Country:US
Mailing Address - Phone:954-321-9501
Mailing Address - Fax:954-321-9502
Practice Address - Street 1:8719 STIRLING RD
Practice Address - Street 2:
Practice Address - City:COOPER CITY
Practice Address - State:FL
Practice Address - Zip Code:33328-5932
Practice Address - Country:US
Practice Address - Phone:954-680-0888
Practice Address - Fax:954-680-0887
Is Sole Proprietor?:No
Enumeration Date:2008-01-03
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO08223111N00000X
FLCH10303111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor