Provider Demographics
NPI:1205279494
Name:LOIODICE, JOHN-CHRISTIAN (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN-CHRISTIAN
Middle Name:
Last Name:LOIODICE
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 1:510 NORTH ST
Mailing Address - Street 2:STE. 4
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-5493
Mailing Address - Country:US
Mailing Address - Phone:413-464-7560
Mailing Address - Fax:413-464-7635
Practice Address - Street 1:510 NORTH ST
Practice Address - Street 2:STE. 4
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-5493
Practice Address - Country:US
Practice Address - Phone:413-464-7560
Practice Address - Fax:413-464-7635
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-08
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3414111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor