Donathan, Kevin James

Donathan, Kevin James is an individual health care provider with primary practice located at 17533 Fort St , Riverview MI 48193-6630. He recently has only one registered license in Chiropractic Providers / Nutrition, which is considered as his primary health care specialty. Donathan, Kevin James can be contacted via phone (734) 283-3200.

Contact Information

Primary practice address
17533 Fort St Riverview MI 48193-6630
Fax: (734) 283-5541
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Nutrition 111NN1001X 2301007586 Michigan

Profile Details

NPI number 1225052012
LBN Legal business name Donathan, Kevin James
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jul 9th, 2007 - about 17 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 1225052012 NPPES
Michigan MEDICAID 4673483

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