Provider Demographics
NPI:1497869986
Name:DONAT, JEFF R (MD,)
Entity Type:Individual
Prefix:DR
First Name:JEFF
Middle Name:R
Last Name:DONAT
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:242 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-1759
Mailing Address - Country:US
Mailing Address - Phone:717-264-0579
Mailing Address - Fax:717-264-0579
Practice Address - Street 1:419 LIMEKILN DR
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-4510
Practice Address - Country:US
Practice Address - Phone:717-263-1141
Practice Address - Fax:717-263-1146
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4267152084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAI47801Medicare UPIN
110534Medicare PIN