Donner, Edward J
Donner, Edward J is an sole proprietor health care provider with primary practice located at 3601 30Th Ave Suite Ll1, Kenosha WI 53144-1695. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Donner, Edward J can be contacted via phone (262) 657-9777.Contact Information
Primary practice address
3601 30Th Ave Suite Ll1
Kenosha WI 53144-1695
Phone: (262) 657-9777
Fax: (262) 657-9785
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2142057 | Wisconsin |
Profile Details
| NPI number | 1710936141 |
|---|---|
| LBN Legal business name | Donner, Edward J |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2006 |
| Last updated | Oct 6th, 2007 - about 19 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 | 1710936141 | NPPES |
| Wisconsin | MEDICAID | 39755100 |
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