Provider Demographics
NPI:1962579516
Name:METZNER, DONALD
Entity type:Individual
Prefix:MR
First Name:DONALD
Middle Name:
Last Name:METZNER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2231 J ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-4743
Mailing Address - Country:US
Mailing Address - Phone:916-448-8108
Mailing Address - Fax:916-448-8111
Practice Address - Street 1:2231 J ST
Practice Address - Street 2:SUITE 105
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-4743
Practice Address - Country:US
Practice Address - Phone:916-448-8108
Practice Address - Fax:916-448-8111
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA3250237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist