Polen, Donna Darlene
Polen, Donna Darlene is an sole proprietor health care provider with primary practice located at 210 N 7Th St Suite 101, Marietta OH 45750-2244. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Polen, Donna Darlene can be contacted via phone (740) 376-0490.Contact Information
Primary practice address
210 N 7Th St Suite 101
Marietta OH 45750-2244
Phone: (740) 376-0490
Fax: (740) 376-0438
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | COA.08621.NP | Ohio |
Profile Details
| NPI number | 1689709149 |
|---|---|
| LBN Legal business name | Polen, Donna Darlene |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 23rd, 2007 |
| Last updated | Oct 14th, 2013 - about 12 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 | 1689709149 | NPPES |
| Ohio | Other | 000000733078 | ANTHEM |
| Ohio | MEDICAID | 3810018814 | ANTHEM |
| Ohio | Other | P01207861 | ANTHEM |
| Ohio | Other | 000000680677 | ANTHEM |
| Ohio | MEDICAID | 2811201 | ANTHEM |
| Ohio | Other | 000000699828 | ANTHEM |
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