Dr. Jason C Theobald is a Baraboo, Wisconsin based male chiropractor with 22 years of experience in General Chiropractor. He completed his graduation from Palmer College Chiropractic - Davenport in 2002. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Jason C Theobald as General Chiropractor is 3855-012 in Wisconsin. Dr. Jason C Theobald is qualified as 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.
Complete Profile:
Dr. Jason C Theobald speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
DC
Experience:
22+ years
Medical School Attended:
Palmer College Chiropractic - Davenport
Graduation Year:
2002
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
550 W Maple St, Baraboo, Wisconsin, 53913-1166
Phone:
608-355-4100
Fax:
608-355-4107
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7214903673
Enrollment ID:
I20040907001197
NPI Number:
1962509604
NPI Enumeration Date:
17 Sep, 2006
NPI Last Update On:
20 Jan, 2016
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jason C Theobald are as mentioned below.
License Number
Specialization
State
Status
3855-012
Chiropractor
Wisconsin
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Jason C Theobald is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Torson Enterprises Llc (9739401100)
4
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jason C Theobald such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
38996600
Other
Wisconsin
MEDICAID GROUP
CB3715
Other
Wisconsin
RAILROAD MEDICARE GROUP
38939100
Medicaid
Wisconsin
350056012
Other
Wisconsin
RAILROAD MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
550 W Maple St, Suite # 201 Baraboo, Wisconsin
Zip:
53913-1166
Phone Number:
608-355-4100
Fax Number:
608-355-4107
Patients can reach Dr. Jason C Theobald at 550 W Maple St, Baraboo, Wisconsin or can call to book an appointment on 608-355-4100. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.