Provider Demographics
NPI:1811061658
Name:FIELD, THOMAS JAY (DC)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:JAY
Last Name:FIELD
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 1:1001 SW 2ND AVE
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-7245
Mailing Address - Country:US
Mailing Address - Phone:561-368-0009
Mailing Address - Fax:561-368-0833
Practice Address - Street 1:1001 SW 2ND AVE
Practice Address - Street 2:SUITE 1000
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-7245
Practice Address - Country:US
Practice Address - Phone:561-368-0009
Practice Address - Fax:561-368-0833
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0003405111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL88716Medicare ID - Type Unspecified
FLT55932Medicare UPIN