Provider Demographics
NPI:1033343421
Name:DR DEVON A TOONE PC COMPLETE CARE CHIROPRACTIC
Entity Type:Organization
Organization Name:DR DEVON A TOONE PC COMPLETE CARE CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEVON
Authorized Official - Middle Name:A
Authorized Official - Last Name:TOONE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:801-292-1200
Mailing Address - Street 1:1525 N MAIN ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BOUNTIFUL
Mailing Address - State:UT
Mailing Address - Zip Code:84010-6166
Mailing Address - Country:US
Mailing Address - Phone:801-292-1200
Mailing Address - Fax:
Practice Address - Street 1:1525 N MAIN ST
Practice Address - Street 2:SUITE 100
Practice Address - City:BOUNTIFUL
Practice Address - State:UT
Practice Address - Zip Code:84010-6166
Practice Address - Country:US
Practice Address - Phone:801-292-1200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-13
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT170204-8007111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT1104026269Medicare PIN
UT000005756Medicare UPIN