Provider Demographics
NPI:1518046770
Name:C. THOMAS D.C. P.C.
Entity Type:Organization
Organization Name:C. THOMAS D.C. P.C.
Other - Org Name:DISCOVER CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:906-228-2765
Mailing Address - Street 1:780 COMMERCE DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-8651
Mailing Address - Country:US
Mailing Address - Phone:906-282-4686
Mailing Address - Fax:906-228-2764
Practice Address - Street 1:780 COMMERCE DR
Practice Address - Street 2:SUITE A
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-8651
Practice Address - Country:US
Practice Address - Phone:906-282-4686
Practice Address - Fax:906-228-2764
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1606723111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty