Dr. Gregory Tonnesen, DC
Chiropractor in Saint Johns, FL. Individual provider (NPI-1).
NPI number1811633100
StatusActive
Last updated in NPPESMay 9, 2022
Details
- NPI
- 1811633100
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gregory Tonnesen
- Credential
- DC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 9, 2022
- Certification date
- May 9, 2022
- Last updated
- May 9, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CHIROPRACTIC
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | CH14015 | FL | Yes |
Practice location
2050 Saint Johns Pkwy Ste 107Saint Johns, FL 32259-4593
Phone 704-310-1985
Mailing address
2050 Saint Johns Pkwy Ste 107Saint Johns, FL 32259-4593
Phone 704-310-1985
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All 8 Chiropractor providers in Saint Johns · All 371 providers in Saint Johns
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