Provider Demographics
NPI:1770186827
Name:TONEY, CHRISTINE
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:TONEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 93
Mailing Address - Street 2:
Mailing Address - City:WILKESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45695-0093
Mailing Address - Country:US
Mailing Address - Phone:740-603-1175
Mailing Address - Fax:
Practice Address - Street 1:120 N TOWN ST
Practice Address - Street 2:
Practice Address - City:WILKESVILLES
Practice Address - State:OH
Practice Address - Zip Code:45695
Practice Address - Country:US
Practice Address - Phone:740-603-1175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH82012503747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant