Main, Donita Jean
Main, Donita Jean is an sole proprietor health care provider with primary practice located at 3091 Indian River Dr Ne , Palm Bay FL 32905-4359. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Main, Donita Jean can be contacted via phone (309) 241-6000.Contact Information
Primary practice address
3091 Indian River Dr Ne
Palm Bay FL 32905-4359
Phone: (309) 241-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1922371541 |
|---|---|
| LBN Legal business name | Main, Donita Jean |
| Credentials | Master of Education (MED) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2012 |
| Last updated | Feb 13th, 2012 - about 12 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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