Individual
DR. SEAN F.C. THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3158 MALLARD COVE LN, FORT WAYNE, IN 46804-2882
(260) 341-7458
Mailing address
1204 W JEFFERSON BLVD, FORT WAYNE, IN 46802-4012
(260) 341-7458
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002580A
IN
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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