Skorupski, Donna M

Skorupski, Donna M is an individual health care provider with primary practice located at 1818 Went Ave Ste A , Mishawaka IN 46545-6482. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Skorupski, Donna M can be contacted via phone (574) 254-0229.

Contact Information

Primary practice address
1818 Went Ave Ste A Mishawaka IN 46545-6482
Fax: (574) 254-0188
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34005089A Indiana

Profile Details

NPI number 1831187756
LBN Legal business name Skorupski, Donna M
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Jul 21st, 2022 - about 2 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 1831187756 NPPES
Indiana Other 000000365162 UNICARE
Indiana Other 593552000 UNICARE
Indiana Other 000000365162 UNICARE
Indiana Other 2328863 UNICARE
Indiana Other PVPB106032 UNICARE

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