MEDICARE: DR. JAMES A THATCHER 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
1	111N00000X	Chiropractor	3489	CO
2	111N00000X	Chiropractor	CHR.0003489	CO

General Provider Information

NPI Number	:	1518926039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES A THATCHER D.C.

Provider Business Mailing Address
First Line	:	3920 N. UNION BLVD
Second Line	:	SUITE 160
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-4907
Country	:	US
Telephone Number	:	719-634-4754
Fax Number	:	719-471-3734

Provider Business Practice Location Address
First Line	:	3920 N. UNION BLVD
Second Line	:	SUITE 160
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-4907
Country	:	US
Telephone Number	:	719-634-4754
Fax Number	:	719-471-3734

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2006
Last Update Date	:	07/14/2022

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