Healthcare Provider Details
I. General information
NPI: 1164810735
Provider Name (Legal Business Name): TOEWS CHIROPRACTIC, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/05/2015
Last Update Date: 01/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
205 W MCELROY RD SUITE 3
STILLWATER OK
74075-3536
US
IV. Provider business mailing address
205 W MCELROY RD SUITE 3
STILLWATER OK
74075-3536
US
V. Phone/Fax
- Phone: 405-372-3733
- Fax: 405-372-3733
- Phone: 405-372-3733
- Fax: 405-372-3733
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 3353 |
| License Number State | OK |
VIII. Authorized Official
Name: DR.
MARK
ALAN
TOEWS
I
Title or Position: PRESIDENT
Credential: D.C.
Phone: 405-372-3733