Individual
DR. THOMAS O. PREBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5322 HIGHGATE DR, SUITE145, DURHAM, NC 27713-6633
(919) 544-9355
(919) 544-9494
Mailing address
5322 HIGHGATE DR, SUITE145, DURHAM, NC 27713-6633
(919) 544-9355
(919) 544-9494
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1528
VA
111N00000X
Chiropractor
Primary
2295
NC
111N00000X
Chiropractor
X008147
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0823J
BLUE CROSS & BLUE SHIELD
NC
05
—
890823J
—
NC
Enumeration date
06/22/2006
Last updated
07/08/2007
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