MEDICARE: THOMPSON CHIROPRACTIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center	06631	IA

General Provider Information

NPI Number	:	1437336013
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THOMPSON CHIROPRACTIC

Provider Business Mailing Address
First Line	:	813B SHAKESPHEARE AVE
Second Line	:
City	:	STRATFORD
State	:	IA
Zip	:	50249
Country	:	US
Telephone Number	:	515-297-1828
Fax Number	:

Provider Business Practice Location Address
First Line	:	1348 MEADOW LN
Second Line	:
City	:	FORT DODGE
State	:	IA
Zip	:	50501-8731
Country	:	US
Telephone Number	:	515-297-1828
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DALE MYRON THOMPSON
Credential	:
Telephone Number	:	314-368-3329

Provider Enumeration Date	:	01/26/2008
Last Update Date	:	02/09/2012

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Directions to “THOMPSON CHIROPRACTIC ” Practice Location

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