Provider Demographics
NPI:1831791847
Name:TOELKE, RAYMOND JAMES
Entity type:Individual
Prefix:
First Name:RAYMOND
Middle Name:JAMES
Last Name:TOELKE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10999 REED HARTMAN HWY STE 321
Mailing Address - Street 2:
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45242-8300
Mailing Address - Country:US
Mailing Address - Phone:513-276-7829
Mailing Address - Fax:
Practice Address - Street 1:10999 REED HARTMAN HWY STE 321
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-8300
Practice Address - Country:US
Practice Address - Phone:513-276-7829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-13
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications