Individual
MRS. DONNA C SWEETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
801 SAINT MARYS DR, SUITE 309E, EVANSVILLE, IN 47714-0511
(812) 485-1850
(812) 485-1855
Mailing address
PO BOX 359, EVANSVILLE, IN 47703-0359
(812) 485-1220
(812) 485-8544
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
02002168
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000485714
ANTHEM PIN
IN
05
—
200264690
—
IN
01
—
200829650A
MEDICAID GRP #
IN
01
—
205023387
TAX ID
IN
01
—
237890
MEDICARE GRP #
IN
05
—
64095243
—
KY
01
—
65945420
MEDICAID GROUP
KY
01
—
DF3251
RAILROAD GROUP
IN
01
—
P00362823
RAILROAD INDIVIDUAL
IN
Enumeration date
05/19/2006
Last updated
04/10/2008
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