Provider Demographics
NPI:1417759697
Name:TOALSON, JOSEPH BRENT
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:BRENT
Last Name:TOALSON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4909 S 73RD ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-4234
Mailing Address - Country:US
Mailing Address - Phone:402-525-5962
Mailing Address - Fax:
Practice Address - Street 1:4909 S 73RD ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-4234
Practice Address - Country:US
Practice Address - Phone:402-525-5962
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant