Provider Demographics
NPI:1407034200
Name:FLOCH, THOMAS ADAM (DC)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:ADAM
Last Name:FLOCH
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 1:330 W PIONEER AVE STE C
Mailing Address - Street 2:
Mailing Address - City:MONTESANO
Mailing Address - State:WA
Mailing Address - Zip Code:98563-4412
Mailing Address - Country:US
Mailing Address - Phone:360-249-8291
Mailing Address - Fax:360-249-8351
Practice Address - Street 1:330 W PIONEER AVE STE C
Practice Address - Street 2:
Practice Address - City:MONTESANO
Practice Address - State:WA
Practice Address - Zip Code:98563-4412
Practice Address - Country:US
Practice Address - Phone:360-249-8291
Practice Address - Fax:360-249-8351
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-04
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034867111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor