Healthcare Provider Details
I. General information
NPI: 1437144797
Provider Name (Legal Business Name): DONN & DOFF INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/13/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2102 CIVIC CENTER DR
REDDING CA
96001-2704
US
IV. Provider business mailing address
2102 CIVIC CENTER DR
REDDING CA
96001-2704
US
V. Phone/Fax
- Phone: 530-241-4040
- Fax: 530-241-4092
- Phone: 530-241-4040
- Fax: 530-241-4092
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
DONA
TEGERSTRAND
Title or Position: CORPORATION SECRETARY
Credential:
Phone: 530-241-4040