Provider Demographics
NPI:1316992233
Name:TOURLITIS, ELEFTHERIOS (DC)
Entity type:Individual
Prefix:DR
First Name:ELEFTHERIOS
Middle Name:
Last Name:TOURLITIS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:478 CONCHESTER HWY
Mailing Address - Street 2:SUITES 9-10
Mailing Address - City:ASTON
Mailing Address - State:PA
Mailing Address - Zip Code:19014-3129
Mailing Address - Country:US
Mailing Address - Phone:610-497-9151
Mailing Address - Fax:610-497-9153
Practice Address - Street 1:478 CONCHESTER HWY
Practice Address - Street 2:SUITES 9-10
Practice Address - City:ASTON
Practice Address - State:PA
Practice Address - Zip Code:19014-3129
Practice Address - Country:US
Practice Address - Phone:610-497-9151
Practice Address - Fax:610-497-9153
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007196L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA019979Medicare ID - Type Unspecified