Provider Demographics
NPI:1215230198
Name:SCHRIMSHER, THOMAS W (DC)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:W
Last Name:SCHRIMSHER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:MRS
Other - First Name:LYN
Other - Middle Name:
Other - Last Name:SCHRIMSHER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2139 AIRWAY AVE
Mailing Address - Street 2:
Mailing Address - City:KINGMAN
Mailing Address - State:AZ
Mailing Address - Zip Code:86409-3669
Mailing Address - Country:US
Mailing Address - Phone:928-757-8200
Mailing Address - Fax:928-757-2772
Practice Address - Street 1:2139 AIRWAY AVE
Practice Address - Street 2:
Practice Address - City:KINGMAN
Practice Address - State:AZ
Practice Address - Zip Code:86409-3669
Practice Address - Country:US
Practice Address - Phone:928-757-8200
Practice Address - Fax:928-757-2772
Is Sole Proprietor?:No
Enumeration Date:2010-12-14
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4151111N00000X, 111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZT41699Medicare UPIN
AZZWCKDMMedicare PIN