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Contact Information

EDWARD J DONNER, PhD
3601 30TH AVE
SUITE LL1
KENOSHA, WI53144-1695
 Phone: 262-657-9777
 Fax: 262-657-9785
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for EDWARD J DONNER · (Male)

NPI # 1710936141
Status Active
Credentials PhD
Entity Individual
Enumeration date 05/10/2006
Last updated 10/06/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 2142057
  • WI Medicaid 39755100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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