Provider Demographics
NPI:1881749372
Name:BERKSHIRE CHIROPRACTIC SERVICES, P.C.
Entity type:Organization
Organization Name:BERKSHIRE CHIROPRACTIC SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TOSK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:413-442-8563
Mailing Address - Street 1:304 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01501-3238
Mailing Address - Country:US
Mailing Address - Phone:508-721-9782
Mailing Address - Fax:508-721-9787
Practice Address - Street 1:100 WENDELL AVE
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-6941
Practice Address - Country:US
Practice Address - Phone:413-442-8563
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA437111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY39010OtherBLUE CROSS BLUE SHIELD
Y39010OtherY39010
MA691524OtherTUFTS HEALTH PLAN
MA9782281Medicaid