Provider Demographics
NPI:1366652570
Name:TOTH, DOUGLASS SCHAEFER (DC)
Entity Type:Individual
Prefix:DR
First Name:DOUGLASS
Middle Name:SCHAEFER
Last Name:TOTH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1214 COLLEGE AVE # 100
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95404-3908
Mailing Address - Country:US
Mailing Address - Phone:707-526-1390
Mailing Address - Fax:707-526-7982
Practice Address - Street 1:1214 COLLEGE AVE # 100
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95404-3908
Practice Address - Country:US
Practice Address - Phone:707-526-1390
Practice Address - Fax:707-526-7982
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29905111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor