Provider Demographics
NPI:1427034867
Name:HENDRIE, DONNA M (DO)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:M
Last Name:HENDRIE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:120 CARRIAGE RUN DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN UNIVERSITY
Mailing Address - State:PA
Mailing Address - Zip Code:19352-1210
Mailing Address - Country:US
Mailing Address - Phone:610-255-5832
Mailing Address - Fax:
Practice Address - Street 1:282 THE GRN
Practice Address - Street 2:UNIVERSITY OF DELAWARE
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19716-0009
Practice Address - Country:US
Practice Address - Phone:302-831-2227
Practice Address - Fax:302-831-6407
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-19
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DEC20003687207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DED71625Medicare UPIN