MEDICARE: ANGELA D THONE D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	1370	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	36601	OTHER	NE	BCBS OF NEBRASKA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	247950	OTHER	NE	MIDLAND'S CHOICE

General Provider Information

NPI Number	:	1588673735
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA D THONE D.C.

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

Provider Business Practice Location Address
First Line	:	1800 W PASEWALK AVE STE 102
Second Line	:
City	:	NORFOLK
State	:	NE
Zip	:	68701
Country	:	US
Telephone Number	:	402-371-4673
Fax Number	:	402-371-7431

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	09/04/2018

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