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NPI Code Detail

MEDICARE: ROBERT THOMAS D.C.

MEDICARE: ROBERT THOMAS 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
1111N00000XChiropractorDC26155CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DC26155OTHERCALICENSE

General Provider Information

NPI Number : 1831236082
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT THOMAS D.C.
Provider Business Mailing Address
First Line : 30 WINCHESTER CANYON RD
Second Line : 139
City : GOLETA
State : CA
Zip : 93117-1960
Country : US
Telephone Number : 805-708-0823
Fax Number :
Provider Business Practice Location Address
First Line : 510 N MILPAS ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93103-3137
Country : US
Telephone Number : 805-708-0823
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2007
Last Update Date : 07/09/2007

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