Hayden, Donald Brent

Hayden, Donald Brent is an individual health care provider with primary practice located at 733 Sw State Road 47 , Lake City FL 32025-0453. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Hayden, Donald Brent can be contacted via phone (386) 755-0645.

Contact Information

Primary practice address
733 Sw State Road 47 Lake City FL 32025-0453
Phone: (386) 755-0645
Fax: (386) 961-9541
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME43394 Florida

Profile Details

NPI number 1013061456
LBN Legal business name Hayden, Donald Brent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Aug 11th, 2009 - about 15 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 1013061456 NPPES
Florida MEDICAID 041891900

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