Provider Demographics
NPI:1841534112
Name:DAWSEY, DONNA M
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:M
Last Name:DAWSEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 9TH ST S
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59405-2135
Mailing Address - Country:US
Mailing Address - Phone:406-453-5539
Mailing Address - Fax:406-736-5508
Practice Address - Street 1:825 9TH ST S
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59405-2135
Practice Address - Country:US
Practice Address - Phone:406-453-5539
Practice Address - Fax:406-736-5508
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-26
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTA14924(05)-206789174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist