Provider Demographics
NPI:1396176731
Name:THONE, TERRY
Entity type:Individual
Prefix:MR
First Name:TERRY
Middle Name:
Last Name:THONE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 E LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:LUVERNE
Mailing Address - State:MN
Mailing Address - Zip Code:56156-1604
Mailing Address - Country:US
Mailing Address - Phone:507-449-4646
Mailing Address - Fax:
Practice Address - Street 1:309 E LINCOLN ST
Practice Address - Street 2:
Practice Address - City:LUVERNE
Practice Address - State:MN
Practice Address - Zip Code:56156-1604
Practice Address - Country:US
Practice Address - Phone:507-449-4646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-11
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver