Johnston, Donna Cheryll

Johnston, Donna Cheryll is an sole proprietor health care provider with primary practice located at 8061 Spyglass Hill Rd. Suite 102 , Melbourne FL 32940. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Johnston, Donna Cheryll can be contacted via phone (321) 751-7041.

Contact Information

Primary practice address
8061 Spyglass Hill Rd. Suite 102 Melbourne FL 32940
Phone: (321) 751-7041
Fax: (351) 751-7042
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME 76813 Florida

Profile Details

NPI number 1447253463
LBN Legal business name Johnston, Donna Cheryll
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2005
Last updated Sep 2nd, 2015 - about 9 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 1447253463 NPPES
Florida Other 49715 BLUE CROSS BLUE SHIELD
Florida MEDICAID 259842600 BLUE CROSS BLUE SHIELD
Florida Other 7158131 BLUE CROSS BLUE SHIELD

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