Medina, Donna Elizabeth
Medina, Donna Elizabeth is an sole proprietor health care provider with primary practice located at 365 Montauk Ave , New London CT 06320-4700. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Medina, Donna Elizabeth can be contacted via phone (860) 442-0711.Contact Information
Primary practice address
365 Montauk Ave
New London CT 06320-4700
Phone: (860) 442-0711
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 001224 | Connecticut |
Profile Details
| NPI number | 1275007353 |
|---|---|
| LBN Legal business name | Medina, Donna Elizabeth |
| Credentials | LADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2019 |
| Last updated | Nov 25th, 2024 - about 2 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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