Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 006-0001056 | VT |
N | 111N00000X | Chiropractor | 383 | HI |
NPI | 1003024886 |
---|---|
Provider Name | Dr. Robert I. Toda |
First Address | White River Junction, VT 05001-9234 |
Second Address | White River Junction, VT 05001-9234 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2007 |
Last Update Date | 08/07/2007 |