Healthcare Provider Details

I. General information

NPI: 1063100618
Provider Name (Legal Business Name): RICHARD TOKAR DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2023
Last Update Date: 05/01/2023
Certification Date: 05/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1375 DRAYTON RD
SPARTANBURG SC
29307-5106
US

IV. Provider business mailing address

937 RUBBLE CT
BOILING SPRINGS SC
29316-7438
US

V. Phone/Fax

Practice location:
  • Phone: 864-345-2632
  • Fax:
Mailing address:
  • Phone: 864-308-6462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4903
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: