Brian, Donna L

Brian, Donna L is an individual health care provider with primary practice located at 1035 W Berks St , Philadelphia PA 19122-1909. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Brian, Donna L can be contacted via phone (215) 765-6690.

Contact Information

Primary practice address
1035 W Berks St Philadelphia PA 19122-1909
Fax: (215) 765-6694
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X TP001559G Pennsylvania

Profile Details

NPI number 1568427409
LBN Legal business name Brian, Donna L
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Aug 10th, 2011 - about 14 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 1568427409 NPPES
Pennsylvania Other 30027028 KEYSTONE MERCY HEALTH PLAN
Pennsylvania MEDICAID 0016148810001 KEYSTONE MERCY HEALTH PLAN
Pennsylvania Other 2268261000 KEYSTONE MERCY HEALTH PLAN
Pennsylvania Other 1488022 KEYSTONE MERCY HEALTH PLAN
Pennsylvania Other 1590244 KEYSTONE MERCY HEALTH PLAN
Pennsylvania Other 17667 KEYSTONE MERCY HEALTH PLAN

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