James R. Thwaits LLC
Organization Active NPI Chiropractor · Syracuse, IN
NPI 1386123727 · NPPES record last updated Sep 25, 2018
Key facts
- NPI
- 1386123727
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 753 (IN)
- Legal business name
- JAMES R. THWAITS LLC
- Practice address
- 502 N Huntington St
Syracuse, IN 46567-1224 - Phone
- (574) 457-7177
- Fax
- (574) 457-7177
- NPI assigned
- Aug 7, 2018
- Organization subpart
- No
Authorized official
- Name
- Dr. James R Thwaits, DC
- Title
- Owner
- Phone
- (745) 457-7177
Practitioners 1
-
James R Thwaits, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180921003015 | IN | Part B Supplier - Clinic/Group Practice | 0042561540 |
Receives reassigned benefits from 1 practitioner Practice locations: Syracuse, IN |
National Provider Directory
Locations
502 N Huntington St
Syracuse, IN 46567
Phone (574) 457-7177
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 753 | IN | Yes |
Addresses
Primary practice location
502 N Huntington St
Syracuse, IN 46567-1224
Mailing address
502 N Huntington St
Syracuse, IN 46567-1224
Phone (574) 457-7177
Other names
- Thwaits Chiropractic
Other providers in Syracuse, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.