Provider Demographics
NPI:1891853347
Name:TOMASINO, DOMINICK JOSEPH (DC)
Entity Type:Individual
Prefix:
First Name:DOMINICK
Middle Name:JOSEPH
Last Name:TOMASINO
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 1:529 N MARKET ST
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37405-3912
Mailing Address - Country:US
Mailing Address - Phone:423-265-2225
Mailing Address - Fax:423-265-3111
Practice Address - Street 1:529 N MARKET ST
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37405-3912
Practice Address - Country:US
Practice Address - Phone:423-265-2225
Practice Address - Fax:423-265-3111
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1221111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNU55560Medicare UPIN
3970735Medicare PIN