Healthcare Provider Details

I. General information

NPI: 1518926039
Provider Name (Legal Business Name): JAMES A THATCHER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2006
Last Update Date: 07/14/2022
Certification Date: 07/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3920 N. UNION BLVD SUITE 160
COLORADO SPRINGS CO
80907-4907
US

IV. Provider business mailing address

3920 N. UNION BLVD SUITE 160
COLORADO SPRINGS CO
80907-4907
US

V. Phone/Fax

Practice location:
  • Phone: 719-634-4754
  • Fax: 719-471-3734
Mailing address:
  • Phone: 719-634-4754
  • Fax: 719-471-3734

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3489
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHR.0003489
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: