Shorter, Donna Marie

Shorter, Donna Marie is an individual health care provider with primary practice located at 1233 34Th St Nw , Bemidji MN 56601-5112. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Shorter, Donna Marie can be contacted via phone (218) 333-5000.

Contact Information

Primary practice address
1233 34Th St Nw Bemidji MN 56601-5112
Fax: (218) 759-5024
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 9059 Minnesota

Profile Details

NPI number 1013938232
LBN Legal business name Shorter, Donna Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2006
Last updated Sep 29th, 2008 - about 18 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 1013938232 NPPES
Minnesota MEDICAID 301521100

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