Provider Demographics
| NPI: | 1366620700 |
|---|---|
| Name: | TONORE MEDICAL INC. |
| Entity type: | Organization |
| Organization Name: | TONORE MEDICAL INC. |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PRESIDENT |
| Authorized Official - Prefix: | MRS |
| Authorized Official - First Name: | CATHERINE |
| Authorized Official - Middle Name: | M |
| Authorized Official - Last Name: | TONORE |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 318-574-1655 |
| Mailing Address - Street 1: | 209 MONROE ST |
| Mailing Address - Street 2: | |
| Mailing Address - City: | TALLULAH |
| Mailing Address - State: | LA |
| Mailing Address - Zip Code: | 71282-5225 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 318-574-1655 |
| Mailing Address - Fax: | 318-574-2175 |
| Practice Address - Street 1: | 209 MONROE ST |
| Practice Address - Street 2: | |
| Practice Address - City: | TALLULAH |
| Practice Address - State: | LA |
| Practice Address - Zip Code: | 71282-5225 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 318-574-1655 |
| Practice Address - Fax: | 318-574-2175 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2008-02-07 |
| Last Update Date: | 2008-03-21 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| LA | 6902621001 | 332BP3500X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 332BP3500X | Suppliers | Durable Medical Equipment & Medical Supplies | Parenteral & Enteral Nutrition |