Provider Demographics
NPI:1518154285
Name:HALLOWITZ, TOBY KYLE (ND, LAC, MSOM)
Entity Type:Individual
Prefix:DR
First Name:TOBY
Middle Name:KYLE
Last Name:HALLOWITZ
Suffix:
Gender:M
Credentials:ND, LAC, MSOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3482
Mailing Address - Street 2:
Mailing Address - City:POST FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83877-3482
Mailing Address - Country:US
Mailing Address - Phone:208-209-6170
Mailing Address - Fax:208-209-6169
Practice Address - Street 1:810 E SHERMAN AVE
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-4149
Practice Address - Country:US
Practice Address - Phone:208-665-2293
Practice Address - Fax:208-908-6038
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-26
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60239352171100000X
WANT60239385175F00000X, 175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist