Mrdjenovich, Donald E

Mrdjenovich, Donald E is an individual health care provider with primary practice located at 2727 Beale Ave Suite A, Altoona PA 16601-1705. He recently has 4 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Mrdjenovich, Donald E can be contacted via phone (814) 946-1075.

Contact Information

Primary practice address
2727 Beale Ave Suite A Altoona PA 16601-1705
Phone: (814) 946-1075
Fax: (814) 946-4076
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC003403L Pennsylvania
Podiatric Medicine & Surgery Service Providers / Radiology 213ER0200X SC003403L Pennsylvania
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X SC0034031 Pennsylvania
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X SC003403L Pennsylvania

Profile Details

NPI number 1487632428
LBN Legal business name Mrdjenovich, Donald E
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated May 5th, 2011 - about 15 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 1487632428 NPPES
Pennsylvania Other 0707106 AETNA HMO QPOS
Pennsylvania Other CC2226 AETNA HMO QPOS
Pennsylvania MEDICAID 0016415200001 AETNA HMO QPOS
Pennsylvania Other 21139415759 AETNA HMO QPOS
Pennsylvania Other 21139415759 AETNA HMO QPOS
Pennsylvania Other 480019774 AETNA HMO QPOS
Pennsylvania Other MR680859 AETNA HMO QPOS
Pennsylvania Other P11111021 AETNA HMO QPOS
Pennsylvania MEDICAID 0016415200002 AETNA HMO QPOS
Pennsylvania Other 5082453 AETNA HMO QPOS
Pennsylvania Other 826758 AETNA HMO QPOS
Pennsylvania Other 251775206 AETNA HMO QPOS
Pennsylvania Other 000000087405 AETNA HMO QPOS
Pennsylvania Other 000680859 AETNA HMO QPOS
Pennsylvania Other 1024439 AETNA HMO QPOS
Pennsylvania Other 206170 AETNA HMO QPOS
Pennsylvania Other 740952 AETNA HMO QPOS

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