Provider Demographics
NPI:1295826402
Name:DONAY LIFE - WELLNESS CENTER INC
Entity Type:Organization
Organization Name:DONAY LIFE - WELLNESS CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:L
Authorized Official - Last Name:DONAY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:937-653-5353
Mailing Address - Street 1:1598 E US HWY 36
Mailing Address - Street 2:
Mailing Address - City:URBANA
Mailing Address - State:OH
Mailing Address - Zip Code:43078
Mailing Address - Country:US
Mailing Address - Phone:937-653-5353
Mailing Address - Fax:937-653-8695
Practice Address - Street 1:1598 E US HWY 36
Practice Address - Street 2:
Practice Address - City:URBANA
Practice Address - State:OH
Practice Address - Zip Code:43078
Practice Address - Country:US
Practice Address - Phone:937-653-5353
Practice Address - Fax:937-653-8695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC1556111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH363700039002OtherMEDICAL MUTUAL
OH000000291160OtherANTHEM BCBS
OH0836475Medicaid
OH9365701Medicare PIN
T32990Medicare UPIN