Individual
DR. THOMAS JEFFERY TANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
215 N L ROGERS WELLS BLVD, GLASGOW, KY 42141-1174
(270) 651-2203
(270) 651-7543
Mailing address
215 N L ROGERS WELLS BLVD, GLASGOW, KY 42141-1174
(270) 651-2203
(270) 651-7543
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4608
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8500116200
—
KY
Enumeration date
03/01/2007
Last updated
11/01/2011
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