Burrell, Donna E
Burrell, Donna E is an individual health care provider with primary practice located at 610 19Th St , Columbus GA 31901-1528. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Burrell, Donna E can be contacted via phone (706) 322-7884.Contact Information
Primary practice address
610 19Th St
Columbus GA 31901-1528
Phone: (706) 322-7884
Fax: (706) 660-2118
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 38704 | Georgia |
Profile Details
| NPI number | 1891782066 |
|---|---|
| LBN Legal business name | Burrell, Donna E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Jul 31st, 2015 - about 9 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 | 1891782066 | NPPES |
| Georgia | Other | 20211I1194 | MEDICARE PTAN |
| Georgia | Other | 110088-488 | MEDICARE PTAN |
| Georgia | MEDICAID | 000622047D | MEDICARE PTAN |
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