Donnelly, Jon Patrick

Donnelly, Jon Patrick is an individual health care provider with primary practice located at 71 Us Route 1 Suite C, Scarborough ME 04074-7173. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Donnelly, Jon Patrick can be contacted via phone (207) 883-5532.

Contact Information

Primary practice address
71 Us Route 1 Suite C Scarborough ME 04074-7173
Phone: (207) 883-5532
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X MD14324 Maine

Profile Details

NPI number 1023102456
LBN Legal business name Donnelly, Jon Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jan 3rd, 2020 - about 4 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 1023102456 NPPES
Maine MEDICAID 315420099

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