Provider Demographics
NPI:1639162258
Name:TORZOK, THOMAS BYRON (DC)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:BYRON
Last Name:TORZOK
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 1:34820 CHARDON RD
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44094-9103
Mailing Address - Country:US
Mailing Address - Phone:440-944-5700
Mailing Address - Fax:440-944-7849
Practice Address - Street 1:34820 CHARDON RD
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY
Practice Address - State:OH
Practice Address - Zip Code:44094-9103
Practice Address - Country:US
Practice Address - Phone:440-944-5700
Practice Address - Fax:440-944-7849
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2948111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U81384Medicare UPIN
T04030311Medicare ID - Type Unspecified