Provider Demographics
NPI:1588850655
Name:DOUGLASS TOTH CHIROPRACTIC P.C.
Entity Type:Organization
Organization Name:DOUGLASS TOTH CHIROPRACTIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLASS
Authorized Official - Middle Name:SCHAEFER
Authorized Official - Last Name:TOTH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:707-526-1390
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-21
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29905111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty