Healthcare Provider Details
I. General information
NPI: 1881749372
Provider Name (Legal Business Name): BERKSHIRE CHIROPRACTIC SERVICES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/24/2007
Last Update Date: 01/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 WENDELL AVE
PITTSFIELD MA
01201-6941
US
IV. Provider business mailing address
304 WASHINGTON ST
AUBURN MA
01501-3238
US
V. Phone/Fax
- Phone: 413-442-8563
- Fax:
- Phone: 508-721-9782
- Fax: 508-721-9787
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 437 |
| License Number State | MA |
VIII. Authorized Official
Name: DR.
STEPHEN
TOSK
Title or Position: OWNER
Credential: DC
Phone: 413-442-8563