Nettlow, Donald Richard
Nettlow, Donald Richard is an sole proprietor health care provider with primary practice located at 200 Avenue F Ne , Winter Haven FL 33881-4131. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Nettlow, Donald Richard can be contacted via phone (863) 293-1121.Contact Information
Primary practice address
200 Avenue F Ne
Winter Haven FL 33881-4131
Phone: (863) 293-1121
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ME0050999 | Florida |
Profile Details
| NPI number | 1003859349 |
|---|---|
| LBN Legal business name | Nettlow, Donald Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Oct 23rd, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003859349 | NPPES |
| Florida | MEDICAID | 372397600 |
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