Provider Demographics
NPI:1518086164
Name:THAMES CHIROPRACTIC CENTER, P.C.
Entity Type:Organization
Organization Name:THAMES CHIROPRACTIC CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:MACADAM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:860-887-4325
Mailing Address - Street 1:12 CASE ST
Mailing Address - Street 2:SUITE 312
Mailing Address - City:NORWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06360-2222
Mailing Address - Country:US
Mailing Address - Phone:860-887-4325
Mailing Address - Fax:860-823-1426
Practice Address - Street 1:12 CASE ST
Practice Address - Street 2:SUITE 312
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360-2222
Practice Address - Country:US
Practice Address - Phone:860-887-4325
Practice Address - Fax:860-823-1426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty