# DR. TERRY THOMAS THATCHER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1497885701
- **Gender:** Man
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 496 | OH | Yes |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000127369 | ANTHEM BLUE CROSS | OH |
| 01 | — | 341105462 | TAXPAYER ID NUMBER | OH |
| 01 | — | 341105462-003 | MEDICAL MUTUAL OF OHIO | OH |
| 01 | — | ANTHEM BLUE CROSS | ANTHEM BLUE CROSS | OH |