Brunello, Donna M

Brunello, Donna M is an sole proprietor health care provider with primary practice located at 2305 30Th Ave , Kenosha WI 53144-1411. She recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as her primary health care specialty. Brunello, Donna M can be contacted via phone (262) 597-2020.

Contact Information

Primary practice address
2305 30Th Ave Kenosha WI 53144-1411
Fax: (262) 597-5452
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X WI2287 Wisconsin

Profile Details

NPI number 1821021445
LBN Legal business name Brunello, Donna M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821021445 NPPES
Wisconsin MEDICAID 38594600

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