Provider Demographics
NPI:1952474694
Name:OZLER, TUGSAN (DC)
Entity Type:Individual
Prefix:DR
First Name:TUGSAN
Middle Name:
Last Name:OZLER
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 1:740 DUKE ST
Mailing Address - Street 2:STE 400
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-1515
Mailing Address - Country:US
Mailing Address - Phone:516-589-4387
Mailing Address - Fax:
Practice Address - Street 1:740 DUKE ST
Practice Address - Street 2:STE 400
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-1515
Practice Address - Country:US
Practice Address - Phone:516-589-4387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011166-1111N00000X
VA0104556908111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1952474694Medicare UPIN
NYX04Q01Medicare ID - Type Unspecified