Johnston, Donna Cheryll
Johnston, Donna Cheryll is an sole proprietor health care provider with primary practice located at 8061 Spyglass Hill Rd. Suite 102 , Melbourne FL 32940. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Johnston, Donna Cheryll can be contacted via phone (321) 751-7041.Contact Information
Primary practice address
8061 Spyglass Hill Rd. Suite 102
Melbourne FL 32940
Phone: (321) 751-7041
Fax: (351) 751-7042
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME 76813 | Florida |
Profile Details
| NPI number | 1447253463 |
|---|---|
| LBN Legal business name | Johnston, Donna Cheryll |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2005 |
| Last updated | Sep 2nd, 2015 - about 11 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 | 1447253463 | NPPES |
| Florida | Other | 49715 | BLUE CROSS BLUE SHIELD |
| Florida | MEDICAID | 259842600 | BLUE CROSS BLUE SHIELD |
| Florida | Other | 7158131 | BLUE CROSS BLUE SHIELD |
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