Provider Demographics
NPI:1225085541
Name:TOSH, ROBERT W (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:W
Last Name:TOSH
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 1:93 S WEST END BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-1150
Mailing Address - Country:US
Mailing Address - Phone:215-536-8763
Mailing Address - Fax:215-538-8896
Practice Address - Street 1:93 S WEST END BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-1150
Practice Address - Country:US
Practice Address - Phone:215-536-8763
Practice Address - Fax:215-538-8896
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-30
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002976L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAJ6431OtherAMERIHEALTH
PA007687428-0001Medicaid
PA0023245000OtherHMO
PAJ6431OtherAMERIHEALTH