Provider Demographics
NPI:1447358387
Name:TOSK, STEPHEN D (DC)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:D
Last Name:TOSK
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 1:100 WENDELL AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-6910
Mailing Address - Country:US
Mailing Address - Phone:413-442-8563
Mailing Address - Fax:413-448-8310
Practice Address - Street 1:100 WENDELL AVE
Practice Address - Street 2:SUITE 9
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-6910
Practice Address - Country:US
Practice Address - Phone:413-442-8563
Practice Address - Fax:413-448-8310
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA437111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9782281Medicaid
MAY39010Medicare ID - Type Unspecified
MA9782281Medicaid