Provider Demographics
NPI:1013951045
Name:THOMPSON, TENA M (DC)
Entity Type:Individual
Prefix:DR
First Name:TENA
Middle Name:M
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:739 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:VIROQUA
Mailing Address - State:WI
Mailing Address - Zip Code:54665-2215
Mailing Address - Country:US
Mailing Address - Phone:608-637-6577
Mailing Address - Fax:608-637-7799
Practice Address - Street 1:739 S MAIN ST
Practice Address - Street 2:
Practice Address - City:VIROQUA
Practice Address - State:WI
Practice Address - Zip Code:54665-2215
Practice Address - Country:US
Practice Address - Phone:608-637-6577
Practice Address - Fax:608-637-7799
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3769-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI649035OtherHEALTH NETWORK
WI649035OtherGREAT-WEST HEALTHCARE
WI649035OtherMEDICA HEALTHPLAN OF WISC
WI116760OtherHEALTH PARTNERS
WI38944500Medicaid
WI649035OtherHEALTH ALLIES
WI649035OtherGE WELLNESS
WI649035OtherMIDWEST SECURITY
WI649035OtherUNITED HEALTHCARE
WI649035OtherGOLDEN RULE
WI649035OtherGE WELLNESS
WI649035OtherUNITED HEALTHCARE