Healthcare Provider Details

I. General information

NPI: 1447414701
Provider Name (Legal Business Name): DONNA EGET PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2008
Last Update Date: 01/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1208 ONEILL HWY
DUNMORE PA
18512-1709
US

IV. Provider business mailing address

1208 ONEILL HWY
DUNMORE PA
18512-1709
US

V. Phone/Fax

Practice location:
  • Phone: 570-207-2612
  • Fax: 570-207-2616
Mailing address:
  • Phone: 570-207-2612
  • Fax: 570-207-2616

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberOS008478L
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. DONNA EGET
Title or Position: MEDICAL DIRECTOR
Credential: DO
Phone: 570-207-2612