Provider Demographics
NPI:1144317306
Name:DONN & DOFF INC
Entity type:Organization
Organization Name:DONN & DOFF INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CORPORATION SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONA
Authorized Official - Middle Name:
Authorized Official - Last Name:TEGERSTRAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-241-4040
Mailing Address - Street 1:2102 CIVIC CENTER DR
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-2704
Mailing Address - Country:US
Mailing Address - Phone:530-241-4040
Mailing Address - Fax:530-241-4092
Practice Address - Street 1:206A ROELOFS CT
Practice Address - Street 2:
Practice Address - City:MOUNT SHASTA
Practice Address - State:CA
Practice Address - Zip Code:96067-2761
Practice Address - Country:US
Practice Address - Phone:530-926-0560
Practice Address - Fax:530-926-0560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAXC0010961Medicaid
CAAAA28189AOtherBLUE SHIELD
CAZZZ28189ZOtherBLUE CROSS
CA0216750002Medicare NSC