Provider Demographics
NPI:1194973156
Name:TOCCO CHIROPRACTIC, INC
Entity type:Organization
Organization Name:TOCCO CHIROPRACTIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SALVATOR
Authorized Official - Middle Name:J
Authorized Official - Last Name:TOCCO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:440-777-0855
Mailing Address - Street 1:4859 DOVER CENTER RD
Mailing Address - Street 2:SUITE 13
Mailing Address - City:NORTH OLMSTED
Mailing Address - State:OH
Mailing Address - Zip Code:44070-3184
Mailing Address - Country:US
Mailing Address - Phone:440-777-0855
Mailing Address - Fax:440-779-7040
Practice Address - Street 1:4859 DOVER CENTER RD
Practice Address - Street 2:SUITE 13
Practice Address - City:NORTH OLMSTED
Practice Address - State:OH
Practice Address - Zip Code:44070-3184
Practice Address - Country:US
Practice Address - Phone:440-777-0855
Practice Address - Fax:440-779-7040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHTO0712151Medicare PIN