Basic Information
| Provider Information | |||||||||
| NPI: | 1831421585 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | TOEBES CHIROPRACTIC LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | N88W16598 MAIN ST | ||||||||
| Address2: | |||||||||
| City: | MENOMONEE FALLS | ||||||||
| State: | WI | ||||||||
| PostalCode: | 530512845 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2622534949 | ||||||||
| FaxNumber: | 2625324122 | ||||||||
| Practice Location | |||||||||
| Address1: | N88W16598 MAIN ST | ||||||||
| Address2: | |||||||||
| City: | MENOMONEE FALLS | ||||||||
| State: | WI | ||||||||
| PostalCode: | 530512845 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2622534949 | ||||||||
| FaxNumber: | 2625324122 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/05/2010 | ||||||||
| LastUpdateDate: | 02/05/2010 | ||||||||
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| AuthorizedOfficialLastName: | TOEBES | ||||||||
| AuthorizedOfficialFirstName: | KRISTINA | ||||||||
| AuthorizedOfficialMiddleName: | CAROL | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 2622534949 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | DC | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111N00000X | 3270-012 | WI | Y | 193400000X SINGLE SPECIALTY GROUP | Chiropractic Providers | Chiropractor |
No ID Information.