Whitehead, Donna Mae
Whitehead, Donna Mae is an individual health care provider with primary practice located at 5140 Expo Dr # 108, Manitowoc WI 54220-8336. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Whitehead, Donna Mae can be contacted via phone (920) 684-5460.Contact Information
Primary practice address
5140 Expo Dr # 108
Manitowoc WI 54220-8336
Phone: (920) 684-5460
Fax: (920) 684-5460
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / General Practice | 163WG0000X | Wisconsin |
Profile Details
| NPI number | 1346207107 |
|---|---|
| LBN Legal business name | Whitehead, Donna Mae |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1346207107 | NPPES |
| Wisconsin | MEDICAID | 38332700 |
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