Provider Demographics
NPI:1548363104
Name:TOIJALA, ERIK C (DC)
Entity type:Individual
Prefix:DR
First Name:ERIK
Middle Name:C
Last Name:TOIJALA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:536 SOUTHING GRANGE RD
Mailing Address - Street 2:UNITE A
Mailing Address - City:COTTAGE GROVE
Mailing Address - State:WI
Mailing Address - Zip Code:53527
Mailing Address - Country:US
Mailing Address - Phone:608-839-3108
Mailing Address - Fax:608-839-3107
Practice Address - Street 1:536 SOUTHING GRANGE RD
Practice Address - Street 2:UNITE A
Practice Address - City:COTTAGE GROVE
Practice Address - State:WI
Practice Address - Zip Code:53527
Practice Address - Country:US
Practice Address - Phone:608-839-3108
Practice Address - Fax:608-839-3107
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3322111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U59603Medicare UPIN