Provider Demographics
NPI:1447422647
Name:DELAWARE CHIROPRACTIC, LTD
Entity Type:Organization
Organization Name:DELAWARE CHIROPRACTIC, LTD
Other - Org Name:DOCTORS PLUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:740-362-8800
Mailing Address - Street 1:104 W WILLIAM ST
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-2305
Mailing Address - Country:US
Mailing Address - Phone:740-362-8800
Mailing Address - Fax:740-362-8804
Practice Address - Street 1:104 W WILLIAM ST
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-2305
Practice Address - Country:US
Practice Address - Phone:740-362-8800
Practice Address - Fax:740-362-8804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-27
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3040111N00000X
111N00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHDP4057OtherRAILROAD MEDICARE
OH000000565581OtherANTHEM
OH2506318Medicaid
OH9374511Medicare PIN