Moeller, Donnalyn

Moeller, Donnalyn is an sole proprietor health care provider with primary practice located at 3131 W Broad St , Columbus OH 43204-1306. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Moeller, Donnalyn can be contacted via phone (614) 272-8854.

Contact Information

Primary practice address
3131 W Broad St Columbus OH 43204-1306
Fax: (614) 272-9200
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 3600995 Ohio

Profile Details

NPI number 1568456630
LBN Legal business name Moeller, Donnalyn
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2005
Last updated May 28th, 2015 - about 9 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 1568456630 NPPES
Ohio MEDICAID 2015125

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