Provider Demographics
NPI:1215278106
Name:O'TOOL, JOSEPH MICHAEL (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:MICHAEL
Last Name:O'TOOL
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 1:1830 SE PRINCETON DR STE D
Mailing Address - Street 2:
Mailing Address - City:GRIMES
Mailing Address - State:IA
Mailing Address - Zip Code:50111-4826
Mailing Address - Country:US
Mailing Address - Phone:515-259-9336
Mailing Address - Fax:
Practice Address - Street 1:1830 SE PRINCETON DR
Practice Address - Street 2:SUITE D
Practice Address - City:GRIMES
Practice Address - State:IA
Practice Address - Zip Code:50111-4826
Practice Address - Country:US
Practice Address - Phone:515-259-9336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-03
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007623111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor