Search › Wisconsin › 111N00000X
Jason Theobald, DC
NPI 1962509604 · on the registry since 2006
Practice
- Address
- 550 W Maple St
Baraboo, WI 53913 - Phone
- (608) 355-4100
- Fax
- (608) 355-4107
- Organisation at this address
- Torson Enterprises Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-01-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin