MEDICARE: REBECCA A DONCHESS MA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	A 01184	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000226441	OTHER	OH	ANTHEM
2	04600	OTHER	OH	NATION EAR CARE PLAN
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	000000503369	OTHER	OH	ANTHEM

General Provider Information

NPI Number	:	1689646242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA A DONCHESS MA

Provider Business Mailing Address
First Line	:	1032 BOARDMAN-CANFIELD RD
Second Line	:	# 102
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44512
Country	:	US
Telephone Number	:	330-726-3339
Fax Number	:	330-726-0482

Provider Business Practice Location Address
First Line	:	1950 NILES CORTLAND RD NE
Second Line	:	SUITE 6
City	:	WARREN
State	:	OH
Zip	:	44484-1077
Country	:	US
Telephone Number	:	330-394-3300
Fax Number	:	330-609-6190

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2006
Last Update Date	:	07/08/2007

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Directions to “ REBECCA A DONCHESS MA” Practice Location

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