John, Donald

John, Donald is an sole proprietor health care provider with primary practice located at 4206 Callfield Road , Wichita Falls TX 76308-2519. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. John, Donald can be contacted via phone (940) 397-5200.

Contact Information

Primary practice address
4206 Callfield Road Wichita Falls TX 76308-2519
Fax: (940) 397-5287
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X L2565 Texas

Profile Details

NPI number 1023122686
LBN Legal business name John, Donald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2006
Last updated Sep 9th, 2010 - 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 1023122686 NPPES
Texas MEDICAID 122412303

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