Driscoll, Dana B.

Driscoll, Dana B. is an individual health care provider with primary practice located at 966 Ford Ave , Wyandotte MI 48192-3851. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Driscoll, Dana B. can be contacted via phone (734) 285-6789.

Contact Information

Primary practice address
966 Ford Ave Wyandotte MI 48192-3851
Fax: (734) 285-6778
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1912939539
LBN Legal business name Driscoll, Dana B.
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Jul 8th, 2007 - about 19 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 1912939539 NPPES
Michigan MEDICAID 4226098

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