Donahue, John P
Donahue, John P is an sole proprietor health care provider with primary practice located at 2909 Main St , Stratford CT 06614-4960. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Donahue, John P can be contacted via phone (203) 683-4570.Contact Information
Primary practice address
2909 Main St
Stratford CT 06614-4960
Phone: (203) 683-4570
Fax: (203) 378-4788
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 034161 | Connecticut |
Profile Details
NPI number | 1588660435 |
---|---|
LBN Legal business name | Donahue, John P |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 24th, 2005 |
Last updated | Jan 7th, 2013 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1588660435 | NPPES |
Connecticut | MEDICAID | 001341619 |
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