Provider Demographics
NPI:1013179225
Name:DONALD T. EVERT MD INC
Entity Type:Organization
Organization Name:DONALD T. EVERT MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:EVERT
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:419-422-6770
Mailing Address - Street 1:300 W WALLACE ST
Mailing Address - Street 2:SUITE A-1
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-1242
Mailing Address - Country:US
Mailing Address - Phone:419-423-2996
Mailing Address - Fax:419-423-1379
Practice Address - Street 1:300 W WALLACE ST
Practice Address - Street 2:SUITE A-1
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-1242
Practice Address - Country:US
Practice Address - Phone:419-423-2996
Practice Address - Fax:419-423-1379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-29
Last Update Date:2008-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35034845E2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty