Mortimer, Donna M

Mortimer, Donna M is an individual health care provider with primary practice located at 23 Bustleton Pike Ste 100 , Feasterville Trevose PA 19053-6446. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Mortimer, Donna M can be contacted via phone (215) 464-9599.

Contact Information

Primary practice address
23 Bustleton Pike Ste 100 Feasterville Trevose PA 19053-6446
Fax: (215) 464-7865
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA051640 Pennsylvania

Profile Details

NPI number 1841286317
LBN Legal business name Mortimer, Donna M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Dec 5th, 2017 - about 7 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 1841286317 NPPES
Pennsylvania Other MA051640 MEDICAL LICENSE NUMBER

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