Donahue, George
Donahue, George is an individual health care provider with primary practice located at 150 Hazard Ave , Enfield CT 06082-4575. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Donahue, George can be contacted via phone (860) 763-1043.Contact Information
Primary practice address
150 Hazard Ave
Enfield CT 06082-4575
Phone: (860) 763-1043
Fax: (860) 749-1459
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 018114 | Connecticut |
Profile Details
| NPI number | 1710964325 |
|---|---|
| LBN Legal business name | Donahue, George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 23rd, 2005 |
| Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710964325 | NPPES |
| Connecticut | Other | 01008114CT01 | BCBS |
| Connecticut | MEDICAID | 001181148 | BCBS |
| Connecticut | Other | 018114 | BCBS |
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