Provider Demographics
NPI:1528017845
Name:PERKINS, THOMAS J (DC)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:J
Last Name:PERKINS
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 1:1005 PENINSULA DR
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16505-4159
Mailing Address - Country:US
Mailing Address - Phone:814-835-0911
Mailing Address - Fax:814-835-0623
Practice Address - Street 1:1005 PENINSULA DR
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16505-4159
Practice Address - Country:US
Practice Address - Phone:814-835-0911
Practice Address - Fax:814-835-0623
Is Sole Proprietor?:No
Enumeration Date:2006-05-06
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007562L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1013361410002Medicaid
PAU75585Medicare UPIN
PA1013361410002Medicaid