Provider Demographics
NPI:1659479087
Name:GREENING, THOMAS ALEXANDER (DC)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:ALEXANDER
Last Name:GREENING
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 1:881 3RD ST
Mailing Address - Street 2:SUITE C-1
Mailing Address - City:WHITEHALL
Mailing Address - State:PA
Mailing Address - Zip Code:18052-5900
Mailing Address - Country:US
Mailing Address - Phone:610-266-5200
Mailing Address - Fax:610-266-5111
Practice Address - Street 1:881 3RD ST
Practice Address - Street 2:SUITE C-1
Practice Address - City:WHITEHALL
Practice Address - State:PA
Practice Address - Zip Code:18052-5900
Practice Address - Country:US
Practice Address - Phone:610-266-5200
Practice Address - Fax:610-266-5111
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-007590-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA02676300OtherCAPITAL BLUE CROSS
PA1031296OtherASHN
PA2736742OtherAETNA HMO
PA7022058OtherAETNA PIN
PAGR337468OtherPA BLUE SHIELD
PA035284Medicare PIN
PA7022058OtherAETNA PIN