Healthcare Provider Details

I. General information

NPI: 1033665054
Provider Name (Legal Business Name): TOENSING FAMILY CHIROPRACTIC AND NUTRITION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2016
Last Update Date: 08/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15601 N ORACLE RD
CATALINA AZ
85739-9111
US

IV. Provider business mailing address

15601 N ORACLE RD
CATALINA AZ
85739-9111
US

V. Phone/Fax

Practice location:
  • Phone: 630-696-7370
  • Fax:
Mailing address:
  • Phone: 630-696-7370
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number8433
License Number StateAZ

VIII. Authorized Official

Name: KOREY TOENSING
Title or Position: OWNER
Credential: DC
Phone: 630-696-7370