Healthcare Provider Details

I. General information

NPI: 1013179225
Provider Name (Legal Business Name): DONALD T. EVERT MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2008
Last Update Date: 06/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W WALLACE ST SUITE A-1
FINDLAY OH
45840-1242
US

IV. Provider business mailing address

300 W WALLACE ST SUITE A-1
FINDLAY OH
45840-1242
US

V. Phone/Fax

Practice location:
  • Phone: 419-423-2996
  • Fax: 419-423-1379
Mailing address:
  • Phone: 419-423-2996
  • Fax: 419-423-1379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number35034845E
License Number StateOH

VIII. Authorized Official

Name: PEGGY ANN EVERT
Title or Position: BUSINESS MANAGER
Credential: APRN
Phone: 419-422-6770