Madison, Donna June

Madison, Donna June is an individual health care provider with primary practice located at 4370 W Main St , Dothan AL 36305. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Madison, Donna June can be contacted via phone (334) 793-5000.

Contact Information

Primary practice address
4370 W Main St Dothan AL 36305
Phone: (334) 793-5000
Fax: (334) 615-8419
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1051646 Alabama

Profile Details

NPI number 1215998133
LBN Legal business name Madison, Donna June
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Jul 8th, 2007 - about 18 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 1215998133 NPPES
Alabama Other 51515694 BLUE CROSS BLUE SHIELD
Alabama MEDICAID 1771465 BLUE CROSS BLUE SHIELD
Alabama Other P00078966 BLUE CROSS BLUE SHIELD
Alabama MEDICAID 08521017 BLUE CROSS BLUE SHIELD

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