Mignogna, Dana

Mignogna, Dana is an individual health care provider with primary practice located at 706 Grape St , Whitehall PA 18052-5207. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Mignogna, Dana can be contacted via phone (610) 266-7700.

Contact Information

Primary practice address
706 Grape St Whitehall PA 18052-5207
Fax: (610) 266-9300
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OE007800T Pennsylvania

Profile Details

NPI number 1942205745
LBN Legal business name Mignogna, Dana
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942205745 NPPES
Pennsylvania MEDICAID 0018424750001

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