| Donna Vandall, Inc. | |
|
3223 E 31st St Ste 201 Tulsa OK 74105-2444 | |
| (918) 749-6935 | |
| (918) 749-7611 |
| Full Name | Donna Vandall, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 3223 E 31st St Ste 201, Tulsa, Oklahoma |
| Authorized Official Name and Position | Donna Kay Rumfeldt (OWNER) |
| Authorized Official Contact | 9187496935 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Donna Vandall, Inc. 3223 E 31st St Ste 201 Tulsa OK 74105-2444 Ph: (918) 749-6935 | Donna Vandall, Inc. 3223 E 31st St Ste 201 Tulsa OK 74105-2444 Ph: (918) 749-6935 |
| NPI Number | 1124291513 |
|---|---|
| Provider Enumeration Date | 04/08/2008 |
| Last Update Date | 04/08/2008 |
| Medicare PECOS PAC ID | 0648208694 |
|---|---|
| Medicare Enrollment ID | O20080409000003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124291513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4543 (Oklahoma) | Primary |
| Provider Name | Donna K Vandall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609894492 PECOS PAC ID: 9133180748 Enrollment ID: I20041026000574 |
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