Donaldson, Regina R.

Donaldson, Regina R. is an sole proprietor health care provider with primary practice located at 2695 Nw Hatches Harbor Rd Apt 101 , Port St Lucie FL 34983-4127. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Ambulatory Health Care Facilities / Developmental Disabilities, Agencies / In Home Supportive Care. Agencies / In Home Supportive Care is her primary health care specialty. Donaldson, Regina R. can be contacted via phone (772) 332-3339.

Contact Information

Primary practice address
2695 Nw Hatches Harbor Rd Apt 101 Port St Lucie FL 34983-4127
Phone: (772) 332-3339
Fax: (772) 323-0055
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X Florida
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X Florida
Agencies / In Home Supportive Care 253Z00000X Florida

Profile Details

NPI number 1033661624
LBN Legal business name Donaldson, Regina R.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2016
Last updated Mar 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033661624 NPPES
Florida MEDICAID 019040200
Florida MEDICAID 109053700

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