Provider Demographics
NPI:1588673735
Name:THONE, ANGELA D (DC)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:D
Last Name:THONE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:
Other - Last Name:DENKINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1800 W PASEWALK AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-5604
Mailing Address - Country:US
Mailing Address - Phone:402-371-4673
Mailing Address - Fax:402-371-7431
Practice Address - Street 1:1800 W PASEWALK AVE STE 102
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701
Practice Address - Country:US
Practice Address - Phone:402-371-4673
Practice Address - Fax:402-371-7431
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1370111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE36601OtherBCBS OF NEBRASKA
NE10025275900Medicaid
NE247950OtherMIDLAND'S CHOICE
NE279084Medicare ID - Type UnspecifiedIND. MEDICARE #