Thomas E Dewald
Chiropractic Sports Physician
1037 W Avenue N Suite 101
Lancaster
, California 93551-2002
Thomas E Dewald
Chiropractic Sports Physician
1037 W Avenue N Suite 101
Lancaster
, California 93551-2002
(661) 266-3591
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Thomas E Dewald
- 1037 W Avenue N Ste 101
- Palmdale, CA
- Zip : 93551-2002
- Fax : (661) 266-3591
- Phone : (661) 266-3500
Second Address
- Thomas E Dewald
- 1037 W Avenue N Suite 101
- Lancaster, CA
- Zip : 93551-2002
- Fax : (661) 266-3591
- Phone : (661) 266-3500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | DC021669 | CA |
National Provider Identifier
| NPI | 1194703827 |
|---|---|
| Provider Name | Thomas E Dewald |
| First Address | Palmdale, CA 93551-2002 |
| Second Address | Lancaster, CA 93551-2002 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/01/2006 |
| Last Update Date | 21/08/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| DC021669 | (05) | CA |
| U41763 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.