Provider Demographics
NPI:1295849164
Name:TSONIS, JOHN P (DC)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:P
Last Name:TSONIS
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 1:109 FAIRHAVEN RD
Mailing Address - Street 2:STE D
Mailing Address - City:MATTAPOISETT
Mailing Address - State:MA
Mailing Address - Zip Code:02739-1459
Mailing Address - Country:US
Mailing Address - Phone:508-758-3666
Mailing Address - Fax:508-758-3289
Practice Address - Street 1:109 FAIRHAVEN RD
Practice Address - Street 2:STE D
Practice Address - City:MATTAPOISETT
Practice Address - State:MA
Practice Address - Zip Code:02739-1459
Practice Address - Country:US
Practice Address - Phone:508-758-3666
Practice Address - Fax:508-758-3289
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2017-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2635111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AA14829OtherHARVARD PILGRIM
Y36864OtherBCBS
462347OtherTUFTS
80038OtherCIGNA
462347OtherTUFTS
AA14829OtherHARVARD PILGRIM