Provider Demographics
NPI:1932734084
Name:DR. MINDAL DONNER, PLLC
Entity type:Organization
Organization Name:DR. MINDAL DONNER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRATOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MINDAL
Authorized Official - Middle Name:
Authorized Official - Last Name:DONNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:757-500-3506
Mailing Address - Street 1:392 BATTLEFIELD BLVD S STE 101
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-5364
Mailing Address - Country:US
Mailing Address - Phone:757-500-3506
Mailing Address - Fax:757-410-0933
Practice Address - Street 1:392 BATTLEFIELD BLVD S STE 101
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-5364
Practice Address - Country:US
Practice Address - Phone:757-500-3506
Practice Address - Fax:757-410-0933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-10
Last Update Date:2020-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty