Tobe Thacker is a Broken Bow, Oklahoma based male chiropractor with 9 years of experience in General Chiropractor. He completed his graduation from Logan College Of Chiropractic in 2015. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Tobe Thacker as General Chiropractor is CHIA-1704 in Idaho. Tobe Thacker is qualified as 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 interrelationship with other body systems.
Complete Profile:
Tobe Thacker speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C.
Experience:
9+ years
Medical School Attended:
Logan College Of Chiropractic
Graduation Year:
2015
Gender:
Male
Accepts Medicare Assignment:
May Accept
Practice Address:
1605 S Park Dr, Broken Bow, Oklahoma, 74728-5724
Phone:
580-584-3385
Fax:
580-584-5454
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7719284611
Enrollment ID:
I20191022001691
NPI Number:
1215396874
NPI Enumeration Date:
11 Feb, 2016
NPI Last Update On:
12 Dec, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tobe Thacker are as mentioned below.
License Number
Specialization
State
Status
CHIA-1704
Chiropractor
Idaho
Primary
4336
General Chiropractor
Oklahoma
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1605 S Park Dr, Broken Bow, Oklahoma
Zip:
74728-5724
Phone Number:
580-584-3385
Fax Number:
580-584-5454
Patients can reach Tobe Thacker at 1605 S Park Dr, Broken Bow, Oklahoma or can call to book an appointment on 580-584-3385. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.