Prince, Donna
Prince, Donna is an individual health care provider with primary practice located at 2799 W Grand Blvd , Detroit MI 48202-2608. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Prince, Donna can be contacted via phone (313) 640-2341.Contact Information
Primary practice address
2799 W Grand Blvd
Detroit MI 48202-2608
Phone: (313) 640-2341
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 43010061890 | Michigan |
Profile Details
NPI number | 1235132069 |
---|---|
LBN Legal business name | Prince, Donna |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 24th, 2005 |
Last updated | Nov 20th, 2012 - about 13 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 | 1235132069 | NPPES |
Michigan | Other | 43010061890 | STATE LICENSE |
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