Provider Demographics
NPI:1396928941
Name:TOYOS CHIROPRACTIC
Entity type:Organization
Organization Name:TOYOS CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:J
Authorized Official - Last Name:TOYOS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:602-955-3456
Mailing Address - Street 1:2009 W CALLE MARITA
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85085-7077
Mailing Address - Country:US
Mailing Address - Phone:602-955-3456
Mailing Address - Fax:602-955-3460
Practice Address - Street 1:3920 E INDIAN SCHOOL RD
Practice Address - Street 2:STE. 16
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-5257
Practice Address - Country:US
Practice Address - Phone:602-955-3456
Practice Address - Fax:602-955-3460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-06
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDC5383111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ70192Medicare PIN
AZU57231Medicare UPIN