Donahue, Brian

Donahue, Brian is an individual health care provider with primary practice located at 11040 N State Road 77 , Hayward WI 54843-3606. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Donahue, Brian can be contacted via phone (715) 934-4850.

Contact Information

Primary practice address
11040 N State Road 77 Hayward WI 54843-3606
Phone: (715) 934-4850
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036-098178 Illinois
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 036-098178 Illinois
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 72492 Wisconsin

Profile Details

NPI number 1174574966
LBN Legal business name Donahue, Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jun 11th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174574966 NPPES
Illinois MEDICAID 036-098178

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