Provider Demographics
NPI:1578689949
Name:SOTTILE, JOHN (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:
Last Name:SOTTILE
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 1:19 MIDSTATE DR STE 130
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01501-1858
Mailing Address - Country:US
Mailing Address - Phone:508-832-5050
Mailing Address - Fax:508-832-5223
Practice Address - Street 1:19 MIDSTATE DR STE 130
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-1858
Practice Address - Country:US
Practice Address - Phone:508-832-5050
Practice Address - Fax:508-832-5223
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2764111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic