MEDICARE: TOEBES CHIROPRACTIC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	3270-012	WI

General Provider Information

NPI Number	:	1831421585
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOEBES CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	N88W16598 MAIN ST
Second Line	:
City	:	MENOMONEE FALLS
State	:	WI
Zip	:	53051-2845
Country	:	US
Telephone Number	:	262-253-4949
Fax Number	:	262-532-4122

Provider Business Practice Location Address
First Line	:	N88W16598 MAIN ST
Second Line	:
City	:	MENOMONEE FALLS
State	:	WI
Zip	:	53051-2845
Country	:	US
Telephone Number	:	262-253-4949
Fax Number	:	262-532-4122

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KRISTINA CAROL TOEBES
Credential	:	DC
Telephone Number	:	262-253-4949

Provider Enumeration Date	:	02/05/2010
Last Update Date	:	02/05/2010

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