Individual provider · Type 1 NPI

Jason C. Theobald, DC

Chiropractor · Baraboo, WI

NPI number 1962509604 Active

Practice location

550 W Maple St
Baraboo, WI 53913-1166

Fax (608) 355-4107

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X3855-012 (WI)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

2 other providers at this address

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About NPI 1962509604

Jason C. Theobald, DC's National Provider Identifier is 1962509604, issued on Sep 17, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Baraboo, WI. The record was last updated on Jan 20, 2016.