Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | DS035004 | PA |
NPI | 1093731465 |
---|---|
Provider Name | Dr. Donna Susan Salin |
First Address | Lansdale, PA 19446-1052 |
Second Address | Lansdale, PA 19446-1052 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
054393 | AMERIHEALTH (01) | |
054393 | BLUE SHIELD (01) | |
113237 | CIGNA (01) | |
115889 | AMERICAN ASSOCIATION OF E (01) | |
1560 | AETNA DMO (01) | |
89839 | AETNA (01) | |
BS7503875 | DEA (01) | |
DS035004 | STATE LICENSE (01) |