Iddings, Donna C
Iddings, Donna C is an individual health care provider with primary practice located at 300 Hanover Street Suite 2A, Fall River MA 02720. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Iddings, Donna C can be contacted via phone (508) 679-7774.Contact Information
Primary practice address
300 Hanover Street Suite 2A
Fall River MA 02720
Phone: (508) 679-7774
Fax: (508) 679-7724
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA00207 | Rhode Island |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA739 | Massachusetts |
Profile Details
| NPI number | 1396742649 |
|---|---|
| LBN Legal business name | Iddings, Donna C |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| Last updated | May 13th, 2020 - about 6 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 | 1396742649 | NPPES |
| Rhode Island | Other | 410229 | RI BL;UE CHIP |
| Rhode Island | Other | 0000030813 | RI BL;UE CHIP |
| Rhode Island | MEDICAID | RI00039 | RI BL;UE CHIP |
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