Healthcare Provider Details

I. General information

NPI: 1043373962
Provider Name (Legal Business Name): THOMAS DONAHUE D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 05/23/2024
Certification Date: 05/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3845 TRUEMAN BLVD
HILLIARD OH
43026-2495
US

IV. Provider business mailing address

3845 TRUEMAN BLVD
HILLIARD OH
43026-2495
US

V. Phone/Fax

Practice location:
  • Phone: 614-767-0162
  • Fax: 614-767-0164
Mailing address:
  • Phone: 614-767-0162
  • Fax: 614-767-0164

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number2358
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: