Provider Demographics
NPI:1215203468
Name:BALL, THOMAS CHRISTOPHER (DC)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:CHRISTOPHER
Last Name:BALL
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 1:264 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-1141
Mailing Address - Country:US
Mailing Address - Phone:508-655-9008
Mailing Address - Fax:508-651-3805
Practice Address - Street 1:264 N MAIN ST
Practice Address - Street 2:
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-1141
Practice Address - Country:US
Practice Address - Phone:508-655-9008
Practice Address - Fax:508-651-3805
Is Sole Proprietor?:No
Enumeration Date:2012-03-31
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3376111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor