Healthcare Provider Details

I. General information

NPI: 1457482259
Provider Name (Legal Business Name): TODD J STOJEBA D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 TECHNOLOGY DR STE 107
O FALLON MO
63368-7371
US

IV. Provider business mailing address

2315 TECHNOLOGY DR STE 107
O FALLON MO
63368-7371
US

V. Phone/Fax

Practice location:
  • Phone: 636-734-7469
  • Fax:
Mailing address:
  • Phone: 636-734-7469
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number005845
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: