Provider Demographics
NPI:1699806448
Name:SOTIS, JOHN THOMAS (DC, DABCN)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:THOMAS
Last Name:SOTIS
Suffix:
Gender:M
Credentials:DC, DABCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1865 POST RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-1547
Mailing Address - Country:US
Mailing Address - Phone:401-732-7774
Mailing Address - Fax:401-732-7876
Practice Address - Street 1:1865 POST RD
Practice Address - Street 2:SUITE 103
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-1547
Practice Address - Country:US
Practice Address - Phone:401-732-7774
Practice Address - Fax:401-732-7876
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDC 264111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI9074-8OtherBLUE CROSS PROVIDER NO.
RICPOOOO4698OtherBLUE CHIP PROVIDER