Dr Patrick Jay Theobald, DC is a
Chiropractor based in Marshfield, Missouri. Dr Patrick Jay Theobald is licensed to practice in Missouri (license number 005526) and his current practice location is
1350 Spur Dr, Ste 220, Marshfield, Missouri. He can be reached at his office (for appointments etc.) via phone at
(417) 859-7750.
NPI number for Dr Patrick Jay Theobald is 1477724813 and his current mailing address is 1350 Spur Dr, Ste 220, Marshfield, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1477724813.
Healthcare Provider's Profile
| Full Name | Dr Patrick Jay Theobald |
|---|
| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 1350 Spur Dr, Marshfield, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1477724813
- Provider Enumeration Date: 03/13/2008
- Last Update Date: 03/13/2008
Medical Identifiers
Medical identifiers for Dr Patrick Jay Theobald such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477724813 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 005526 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Patrick Jay Theobald is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Patrick Jay Theobald, DC
1350 Spur Dr, Ste 220,
Marshfield, MO 65706-2344
Ph: (417) 859-7750 | Dr Patrick Jay Theobald, DC
1350 Spur Dr, Ste 220,
Marshfield, MO 65706-2344
Ph: (417) 859-7750 |
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