Provider Demographics
NPI:1063460962
Name:READ, THOMAS B (DC)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:B
Last Name:READ
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 1:3418 PUMP RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23233-1111
Mailing Address - Country:US
Mailing Address - Phone:804-360-0933
Mailing Address - Fax:804-360-0916
Practice Address - Street 1:3418 PUMP RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23233-1111
Practice Address - Country:US
Practice Address - Phone:804-360-0933
Practice Address - Fax:804-360-0916
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104001839111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA141322OtherBCBS
VA263694OtherALLIANCE/MAMSI
VA132709OtherSOUTHERN HEALTH
VA5215642/7084475OtherAETNA
VA44-00195OtherUNITED HEALTH