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Dr. Jason C Theobald, DC
Chiropractor in Baraboo, Wisconsin
NPI 1962509604

Jason C Theobald is a Chiropractor based in Baraboo, WI. Jason C Theobald practices in Baraboo, WI and has the professional credentials of DC. The NPI Number for Jason C Theobald is 1962509604 and holds a License No. 3855-012 (Wisconsin).

The current practice location address for Jason C Theobald is 550 W Maple St, Baraboo, WI and can be reached out via phone at 608-355-4100 and via fax at 608-355-4107.

Location: 550 W Maple St, Baraboo, WI, 53913-1166
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962509604
Provider Name
Jason C Theobald
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
550 W Maple St, Baraboo, WI, 53913-1166
Phone Number
608-355-4100
Fax Number
608-355-4107
Provider Enumeration Date
09/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38996600 01 WI MEDICAID GROUP
CB3715 01 WI RAILROAD MEDICARE GROUP
38939100 05 WI
350056012 01 WI RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
550 W Maple St
City
Baraboo
State
Wisconsin
Zip
53913-1166
Phone Number
608-355-4100
Fax Number
608-355-4107
person
Provider Business Mailing Address Details
Address
550 W Maple St
City
Baraboo
State
Wisconsin
Zip
53913-1166
Phone Number
608-355-4100
Fax Number
608-355-4107
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
3855-012 (Wisconsin)
Definition
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.
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