Mayden, Donald Edward

Mayden, Donald Edward is an sole proprietor health care provider with primary practice located at 600 E Ferguson Ave , Wood River IL 62095-2146. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Mayden, Donald Edward can be contacted via phone (618) 254-6223.

Contact Information

Primary practice address
600 E Ferguson Ave Wood River IL 62095-2146
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X Illinois

Profile Details

NPI number 1316047053
LBN Legal business name Mayden, Donald Edward
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2006
Last updated Jul 8th, 2007 - about 17 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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