Edward J Donner is a Clinical in Kenosha, Wisconsin. Edward J Donner practices all healthcare services and medical treatments related to Clinical. The NPI Number for Edward J Donner is 1710936141. The last update date is 2007-10-06.
Edward J Donner's current location address is 3601 30th Ave, Kenosha, Wisconsin. You can contact this provider via phone number 2626579777 and fax number 2626579785. The mailing address for Edward J Donner is 3601 30th Ave, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward J Donner |
|---|---|
| Address | 3601 30th Ave, Kenosha, Wisconsin |
| Phone Number | 2626579777 |
| Fax Number | 2626579785 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1710936141 |
|---|---|
| Provider Enumeration Date | 2006-05-10 |
| Last Updated Date | 2007-10-06 |
Provider Mailing Address Detail
| Address | 3601 30th Ave |
|---|---|
| City | Kenosha |
| State | Wisconsin (WI) |
| Post Code | 531441695 |
| Phone Number | 2626579777 |
| Fax Number | 2626579785 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2142057 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39755100 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Edward J Donner by the Centers for Medicare & Medicaid Services?
The Edward J Donner has been assigned the NPI (National Provider Identifier) 1710936141 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Edward J Donner?
The Edward J Donner is situated at 3601 30Th Ave, in the city of Kenosha, state of WI, with the zip code 531441695.
What is Edward J Donner's area of expertise and its corresponding taxonomy classification?
The Edward J Donner's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1710936141 to Edward J Donner?
The Centers for Medicare & Medicaid Services originally issued the 1710936141 to Edward J Donner on 2006-05-10.
When was the information regarding Edward J Donner, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Edward J Donner, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-10-06.
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