Dewald, Donald Lee

Dewald, Donald Lee is an individual health care provider with primary practice located at 1125 Aspira Ct , Mansfield OH 44906-4125. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Dewald, Donald Lee can be contacted via phone (419) 756-2122.

Contact Information

Primary practice address
1125 Aspira Ct Mansfield OH 44906-4125
Phone: (419) 756-2122
Fax: (419) 756-5486
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 35039490D Ohio

Profile Details

NPI number 1538147525
LBN Legal business name Dewald, Donald Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Jul 1st, 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 1538147525 NPPES
Ohio MEDICAID 0317473

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