Benedicktus, Donna L

Benedicktus, Donna L is an individual health care provider with primary practice located at 210 E Evergreen Blvd , Vancouver WA 98660. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Benedicktus, Donna L can be contacted via phone (360) 693-3693.

Contact Information

Primary practice address
210 E Evergreen Blvd Vancouver WA 98660
Fax: (360) 693-6894
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X MA00004696 Washington

Profile Details

NPI number 1871895409
LBN Legal business name Benedicktus, Donna L
Credentials LMP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2010
Last updated Dec 2nd, 2010 - about 15 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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