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NPI Code Detail

MEDICARE: DONNA BEMIS

MEDICARE: DONNA BEMIS
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1801035258
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA BEMIS
Provider Business Mailing Address
First Line : 700 SE CROSS ST
Second Line :
City : MOUNT STERLING
State : IL
Zip : 62353-1561
Country : US
Telephone Number : 217-773-3325
Fax Number : 217-773-2425
Provider Business Practice Location Address
First Line : 700 SE CROSS ST
Second Line :
City : MOUNT STERLING
State : IL
Zip : 62353-1561
Country : US
Telephone Number : 217-773-3325
Fax Number : 217-773-2425
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2009
Last Update Date : 02/09/2009

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Directions to “ DONNA BEMIS ” Practice Location

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