MEDICARE: DELAWARE CHIROPRACTIC, LTD

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	111N00000X	Chiropractor	3040	OH
2	111N00000X	Chiropractor
3	363L00000X	Nurse Practitioner

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DP4057	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	000000565581	OTHER	OH	ANTHEM
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447422647
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DELAWARE CHIROPRACTIC, LTD

Provider Business Mailing Address
First Line	:	1362 W CENTRAL AVE
Second Line	:
City	:	DELAWARE
State	:	OH
Zip	:	43015-1891
Country	:	US
Telephone Number	:	740-362-8800
Fax Number	:	740-362-8804

Provider Business Practice Location Address
First Line	:	1362 W CENTRAL AVE
Second Line	:
City	:	DELAWARE
State	:	OH
Zip	:	43015-1891
Country	:	US
Telephone Number	:	740-362-8800
Fax Number	:	740-362-8804

Authorized Official
Title or Position	:	OWNER
Name	:	DAVID C THOMAS
Credential	:	DC
Telephone Number	:	740-362-8800

Provider Enumeration Date	:	03/27/2008
Last Update Date	:	02/02/2026

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Directions to “DELAWARE CHIROPRACTIC, LTD ” Practice Location

Language	Start Address	Practice Location

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