1588673735 NPI number — ANGELA D THONE D.C.

Table of content: ANGELA D THONE D.C. (NPI 1588673735)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588673735 NPI number — ANGELA D THONE D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
THONE
Provider First Name:
ANGELA
Provider Middle Name:
D
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
D.C.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
DENKINGER
Provider Other First Name:
ANGELA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
DC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1588673735
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/04/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1800 W PASEWALK AVE STE 102
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORFOLK
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68701-5604
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
402-371-4673
Provider Business Mailing Address Fax Number:
402-371-7431

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1800 W PASEWALK AVE STE 102
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORFOLK
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-371-4673
Provider Business Practice Location Address Fax Number:
402-371-7431
Provider Enumeration Date:
08/05/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  1370 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 36601 . This is a "BCBS OF NEBRASKA" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".
  • Identifier: 10025275900 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 247950 . This is a "MIDLAND'S CHOICE" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".