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
Phone: (218) 333-5000
Fax: (218) 759-5024
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013938232 | NPPES |
| Minnesota | MEDICAID | 301521100 |
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