Donayre, Carlos
Donayre, Carlos is an individual health care provider with primary practice located at 804 Grandview Dr Ste 2 , Ephrata PA 17522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Donayre, Carlos can be contacted via phone (717) 466-2500.Contact Information
Primary practice address
804 Grandview Dr Ste 2
Ephrata PA 17522
Phone: (717) 466-2500
Fax: (717) 733-7865
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | G55336 | California |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | MD60394714 | Washington |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | MD444690 | Pennsylvania |
Profile Details
| NPI number | 1134191752 |
|---|---|
| LBN Legal business name | Donayre, Carlos |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Aug 29th, 2022 - about 2 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 | 1134191752 | NPPES |
| California | MEDICAID | 00G553360 |
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