Healthcare Provider Details

I. General information

NPI: 1154300416
Provider Name (Legal Business Name): DANIELLE E TONER DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/13/2006
Last Update Date: 11/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 E 3RD ST
BLOOMINGTON IN
47401-5538
US

IV. Provider business mailing address

3901 E 3RD ST
BLOOMINGTON IN
47401-5538
US

V. Phone/Fax

Practice location:
  • Phone: 812-334-0082
  • Fax: 812-334-1019
Mailing address:
  • Phone: 812-334-0082
  • Fax: 812-334-1019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number08002322A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: