Christopher J Tomshack, DC
Individual provider Active NPI Chiropractor · Vermilion, OH
NPI 1619059441 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1619059441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2074 (OH)
- Practice address
- 4365 Liberty Ave
Vermilion, OH 44089-2133 - Phone
- (440) 967-4226
- Fax
- (440) 967-8715
- NPI assigned
- Oct 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2074 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Two Enterprises Inc. | Past |
Accepting new patients | |
| Healthquest of Avon, Inc. | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2074 | OH | Yes |
Addresses
Primary practice location
4365 Liberty Ave
Vermilion, OH 44089-2133
Mailing address
4365 Liberty Ave
Vermilion, OH 44089-2133
Phone (440) 967-4226
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0961071 | Medicaid | OH |
Other providers in Vermilion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 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.