Milton Kenneth Thayn, D.C.
Individual provider Active NPI Chiropractor · Price, UT
NPI 1720112980 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720112980
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 156186-1202 (UT)
- Practice address
- 39 N 600 E
Price, UT 84501-2624 - Phone
- (435) 637-0450
- Fax
- (435) 637-6341
- NPI assigned
- Mar 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 156186-1202 | UT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carbon Chiropractic, PLLC | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 156186-1202 | UT | Yes |
Addresses
Primary practice location
39 N 600 E
Price, UT 84501-2624
Mailing address
39 N 600 E
Price, UT 84501-2624
Phone (435) 637-0450
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 870304778 | Other | UT | FEDERAL ID NUMBER |
Other providers in Price, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.