Provider Demographics
NPI:1427383835
Name:NONNENMACHER, THOMAS EDWARD (DC)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:EDWARD
Last Name:NONNENMACHER
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 1:9986 SPOTSWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:MCGAHEYSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22840-2421
Mailing Address - Country:US
Mailing Address - Phone:540-289-6727
Mailing Address - Fax:540-289-6729
Practice Address - Street 1:9986 SPOTSWOOD TRL
Practice Address - Street 2:
Practice Address - City:MCGAHEYSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22840-2421
Practice Address - Country:US
Practice Address - Phone:540-289-6727
Practice Address - Fax:540-289-6729
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-03
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556730111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA2311032Medicaid