Makamba, Dornica

Makamba, Dornica is an individual health care provider with primary practice located at 101 W 61St Ave , Hobart IN 46342-6449. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Makamba, Dornica can be contacted via phone (219) 945-9830.

Contact Information

Primary practice address
101 W 61St Ave Hobart IN 46342-6449
Phone: (219) 945-9830
Fax: (219) 945-9541
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3009495 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71005957A Indiana

Profile Details

NPI number 1649654641
LBN Legal business name Makamba, Dornica
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2015
Last updated Feb 21st, 2023 - about last year

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 1649654641 NPPES
Indiana MEDICAID 201336190
Indiana MEDICAID 7100373320

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