Donald, Robert L

Donald, Robert L is an individual health care provider with primary practice located at 2819 Denny Ave , Pascagoula MS 39581-5301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Donald, Robert L can be contacted via phone (228) 762-3466.

Contact Information

Primary practice address
2819 Denny Ave Pascagoula MS 39581-5301
Phone: (228) 762-3466
Fax: (228) 762-6349
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12709 Mississippi

Profile Details

NPI number 1770585630
LBN Legal business name Donald, Robert L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated May 2nd, 2022 - about 3 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 1770585630 NPPES
Mississippi MEDICAID 00114734
Mississippi Other 5980040

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