Provider Demographics
NPI:1871575753
Name:TOSCH, JEFFREY JOHN (DC)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:JOHN
Last Name:TOSCH
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 1:2006 NOOSENECK HILL RD
Mailing Address - Street 2:
Mailing Address - City:COVENTRY
Mailing Address - State:RI
Mailing Address - Zip Code:02816-6708
Mailing Address - Country:US
Mailing Address - Phone:401-822-3676
Mailing Address - Fax:401-826-1127
Practice Address - Street 1:2006 NOOSENECK HILL RD
Practice Address - Street 2:
Practice Address - City:COVENTRY
Practice Address - State:RI
Practice Address - Zip Code:02816-6708
Practice Address - Country:US
Practice Address - Phone:401-822-3676
Practice Address - Fax:401-826-1127
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDCP00442111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI22419-6OtherBLUE CROSS/BLUE SHIELD RI
RI408099OtherBLUE CHIP OF RI
RI7799405OtherAETNA
RI346820000OtherFED WORKER'S COMPENSATION
RIAA8940OtherHARVARD PILGRIM
RI7799405OtherAETNA
RI408099OtherBLUE CHIP OF RI