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 |