Vasilakis-Donzella, Amy Anne
Vasilakis-Donzella, Amy Anne is an individual health care provider with primary practice located at 1315 Mt. Dechantal Road , Wheeling WV 26003-6392. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Vasilakis-Donzella, Amy Anne can be contacted via phone (304) 243-7117.Contact Information
Primary practice address
1315 Mt. Dechantal Road
Wheeling WV 26003-6392
Phone: (304) 243-7117
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1899 | West Virginia |
Profile Details
| NPI number | 1619960176 |
|---|---|
| LBN Legal business name | Vasilakis-Donzella, Amy Anne |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Sep 2nd, 2015 - about 9 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 | 1619960176 | NPPES |
| Ohio | MEDICAID | 2410064 | |
| Ohio | Other | 1899 | |
| Ohio | Other | 21502391100 | |
| Ohio | Other | 001718181 | |
| Ohio | Other | 55035705700 | |
| Ohio | MEDICAID | 1809463000 |
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