Provider Demographics
NPI:1679607097
Name:HECHT, THOMAS CHRISTOPHER (DC)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:CHRISTOPHER
Last Name:HECHT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11862 STATE ROUTE 725
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45327-9760
Mailing Address - Country:US
Mailing Address - Phone:937-855-7781
Mailing Address - Fax:
Practice Address - Street 1:1868 DAYTON GERMANTOWN PIKE
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:OH
Practice Address - Zip Code:45327-1100
Practice Address - Country:US
Practice Address - Phone:937-855-6112
Practice Address - Fax:937-855-6112
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2178111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000019165OtherANTHEM
OH0257912Medicaid
OH31145560900OtherWORKMEN'S COMPENSATION
OHPO6591OtherMEDICARE CLAIMS SUBMISSIO
OHPO6591OtherMEDICARE CLAIMS SUBMISSIO
OH31145560900OtherWORKMEN'S COMPENSATION