MEDICARE: TOENSING FAMILY CHIROPRACTIC AND NUTRITION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	8433	AZ

General Provider Information

NPI Number	:	1033665054
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOENSING FAMILY CHIROPRACTIC AND NUTRITION

Provider Business Mailing Address
First Line	:	15601 N ORACLE RD
Second Line	:
City	:	CATALINA
State	:	AZ
Zip	:	85739-9111
Country	:	US
Telephone Number	:	630-696-7370
Fax Number	:

Provider Business Practice Location Address
First Line	:	15601 N ORACLE RD
Second Line	:
City	:	CATALINA
State	:	AZ
Zip	:	85739-9111
Country	:	US
Telephone Number	:	630-696-7370
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KOREY TOENSING
Credential	:	DC
Telephone Number	:	630-696-7370

Provider Enumeration Date	:	08/30/2016
Last Update Date	:	08/30/2016

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