Provider Demographics
NPI:1780752774
Name:VRBKA, THOMAS JAMES (DC)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:JAMES
Last Name:VRBKA
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 1:288 BLUE CREEK CIR
Mailing Address - Street 2:
Mailing Address - City:DADEVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36853-5800
Mailing Address - Country:US
Mailing Address - Phone:334-759-1999
Mailing Address - Fax:
Practice Address - Street 1:2408 E UNIVERSITY DR
Practice Address - Street 2:SUITE 101
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-9403
Practice Address - Country:US
Practice Address - Phone:334-821-2552
Practice Address - Fax:866-850-0983
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor