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NPI Code Detail

MEDICARE: RODNEY B THOMAS JR. D.C.

MEDICARE:   RODNEY B THOMAS JR. D.C.
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
1111N00000XChiropractor1960MA
2111N00000XChiropractor001876CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033285259
Entity Type Code : Individual
Provider Name (Legal Business Name) : RODNEY B THOMAS JR. D.C.
Provider Business Mailing Address
First Line : 770 CAREW ST
Second Line :
City : SPRINGFIELD
State : MA
Zip : 01104-1948
Country : US
Telephone Number : 413-733-1181
Fax Number : 413-733-6676
Provider Business Practice Location Address
First Line : 770 CAREW ST
Second Line :
City : SPRINGFIELD
State : MA
Zip : 01104-1948
Country : US
Telephone Number : 413-733-1181
Fax Number : 413-733-6676
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2006
Last Update Date : 04/20/2011

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Directions to “ RODNEY B THOMAS JR. D.C.” Practice Location

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