Provider Demographics
NPI:1902943889
Name:THOMAS, CHRISTOPHER A (DC)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:A
Last Name:THOMAS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1644
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:WA
Mailing Address - Zip Code:99156
Mailing Address - Country:US
Mailing Address - Phone:509-447-9986
Mailing Address - Fax:509-447-9986
Practice Address - Street 1:129 S UNION AVENUE
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:WA
Practice Address - Zip Code:99156-9668
Practice Address - Country:US
Practice Address - Phone:509-447-9986
Practice Address - Fax:509-447-9986
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2019-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDCHIA-1339111N00000X
WACH00034126111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAB29353Medicare ID - Type UnspecifiedCHIROPRACTIC
WAU90441Medicare UPIN
WAG8808735Medicare ID - Type UnspecifiedSECONDARY OFFICE ID