Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 2764 | MA |
NPI | 1578689949 |
---|---|
Provider Name | Dr. John Sottile |
First Address | Auburn, MA 01501-1858 |
Second Address | Auburn, MA 01501-1858 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2007 |
Last Update Date | 21/04/2015 |