Provider Demographics
NPI:1801489794
Name:HONSEY, TONJA
Entity type:Individual
Prefix:
First Name:TONJA
Middle Name:
Last Name:HONSEY
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 1:734 5TH ST E
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55106-5115
Mailing Address - Country:US
Mailing Address - Phone:612-757-8862
Mailing Address - Fax:
Practice Address - Street 1:783 CARROLL AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-5510
Practice Address - Country:US
Practice Address - Phone:612-757-8862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-11
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator