Provider Demographics
NPI:1932179900
Name:SOSINE, JOHN S (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:S
Last Name:SOSINE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2100 MONUMENT BLVD STE 16
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-3400
Mailing Address - Country:US
Mailing Address - Phone:916-300-4239
Mailing Address - Fax:916-899-5651
Practice Address - Street 1:755 SUNRISE AVE
Practice Address - Street 2:SUITE 115
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-4500
Practice Address - Country:US
Practice Address - Phone:916-783-9966
Practice Address - Fax:916-899-5651
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-24
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CADC0122840111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor