Fleenor, Tonya Hale
Fleenor, Tonya Hale is an sole proprietor health care provider with primary practice located at 2100 N Main St # 304 , Crown Point IN 46307-1877. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Fleenor, Tonya Hale can be contacted via phone (574) 546-1900.Contact Information
Primary practice address
2100 N Main St # 304
Crown Point IN 46307-1877
Phone: (574) 546-1900
Fax: (574) 546-1999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71002254A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 3015903 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 71002254A | Indiana |
Profile Details
| NPI number | 1699847863 |
|---|---|
| LBN Legal business name | Fleenor, Tonya Hale |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Feb 28th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699847863 | NPPES |
| Other | 000000495681 | ANTHEM | |
| MEDICAID | 200843190 | ANTHEM |
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