Provider Demographics
NPI:1245203298
Name:YORK, THOMAS C (DC)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:C
Last Name:YORK
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 1:9 MEDICAL SERVICES DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:MORRILTON
Mailing Address - State:AR
Mailing Address - Zip Code:72110-4528
Mailing Address - Country:US
Mailing Address - Phone:501-354-3232
Mailing Address - Fax:501-354-4456
Practice Address - Street 1:9 MEDICAL SERVICES DR
Practice Address - Street 2:SUITE B
Practice Address - City:MORRILTON
Practice Address - State:AR
Practice Address - Zip Code:72110-4528
Practice Address - Country:US
Practice Address - Phone:501-354-3232
Practice Address - Fax:501-354-4456
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-09
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1212111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR131052718Medicaid
AR59712OtherBCBS
ART88779Medicare UPIN
AR59712OtherBCBS