Daufenbach, Donna R
Daufenbach, Donna R is an individual health care provider with primary practice located at 5333 Douglas Ave , Racine WI 53402-2032. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Daufenbach, Donna R can be contacted via phone (262) 752-2100.Contact Information
Primary practice address
5333 Douglas Ave
Racine WI 53402-2032
Phone: (262) 752-2100
Fax: (262) 752-2126
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 33374 | Wisconsin |
Profile Details
| NPI number | 1467567602 |
|---|---|
| LBN Legal business name | Daufenbach, Donna R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Aug 10th, 2023 - about last year |
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 | 1467567602 | NPPES |
| Wisconsin | MEDICAID | 32111300 |
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