Augustine, Donna J

Augustine, Donna J is an individual health care provider with primary practice located at 1400 E 2Nd St , Defiance OH 43512-2440. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Augustine, Donna J can be contacted via phone (419) 784-1414.

Contact Information

Primary practice address
1400 E 2Nd St Defiance OH 43512-2440
Phone: (419) 784-1414
Fax: (419) 783-2799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN 163053 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X APRN.CNM.03448 Ohio

Profile Details

NPI number 1205839313
LBN Legal business name Augustine, Donna J
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Oct 1st, 2019 - about 5 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 1205839313 NPPES
Ohio MEDICAID 2032419
Ohio Other H042032

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