Donald, Elyse Midori

Donald, Elyse Midori is an sole proprietor health care provider with primary practice located at 5150 Hill Rd E Ste B , Lakeport CA 95453-5100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Donald, Elyse Midori can be contacted via phone (707) 263-7082.

Contact Information

Primary practice address
5150 Hill Rd E Ste B Lakeport CA 95453-5100
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 00G770070 California

Profile Details

NPI number 1568487684
LBN Legal business name Donald, Elyse Midori
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2006
Last updated Jan 11th, 2010 - 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 1568487684 NPPES
California MEDICAID 00G770070

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