Tara Jo Thompson is a Chiropractor in Wyanet, Illinois. Tara Jo Thompson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Tara Jo Thompson is 1285629402. The last update date is 2012-03-29.
Tara Jo Thompson's current location address is P.o. Box 10, Wyanet, Illinois. You can contact this provider via phone number 8156997333 and fax number 8156997334. The mailing address for Tara Jo Thompson is P.o. Box 10, Wyanet, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tara Jo Thompson |
|---|---|
| Address | P.o. Box 10, Wyanet, Illinois |
| Phone Number | 8156997333 |
| Fax Number | 8156997334 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1285629402 |
|---|---|
| Provider Enumeration Date | 2005-09-14 |
| Last Updated Date | 2012-03-29 |
Provider Mailing Address Detail
| Address | P.o. Box 10 |
|---|---|
| City | Wyanet |
| State | Illinois (IL) |
| Post Code | 613790010 |
| Phone Number | 8156997333 |
| Fax Number | 8156997334 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 38007591 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 350053822 | IL | RAILROAD MEDICARE | |
| 627456 | IL | BCBS OF IL | |
| 38007591 | IL | -- |
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What is the unique 10-digit identification code issued to Tara Jo Thompson by the Centers for Medicare & Medicaid Services?
The Tara Jo Thompson has been assigned the NPI (National Provider Identifier) 1285629402 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Tara Jo Thompson's physical address?
The Tara Jo Thompson is physically located at P.O. Box 10, in the city of Wyanet, IL, with the postal code 613790010.
What is the Tara Jo Thompson's specialty and taxonomy code?
The Tara Jo Thompson's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did Tara Jo Thompson receive its 1285629402 assignment from the Centers for Medicare & Medicaid Services?
The Tara Jo Thompson was assigned its 1285629402 on 2005-09-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Tara Jo Thompson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Tara Jo Thompson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-03-29.