Healthcare Provider Details

I. General information

NPI: 1831421585
Provider Name (Legal Business Name): TOEBES CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2010
Last Update Date: 02/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

N88W16598 MAIN ST
MENOMONEE FALLS WI
53051-2845
US

IV. Provider business mailing address

N88W16598 MAIN ST
MENOMONEE FALLS WI
53051-2845
US

V. Phone/Fax

Practice location:
  • Phone: 262-253-4949
  • Fax: 262-532-4122
Mailing address:
  • Phone: 262-253-4949
  • Fax: 262-532-4122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3270-012
License Number StateWI

VIII. Authorized Official

Name: DR. KRISTINA CAROL TOEBES
Title or Position: OWNER
Credential: DC
Phone: 262-253-4949