Donnelly, Michael A
Donnelly, Michael A is an individual health care provider with primary practice located at 1905 E. Huebbe Parkway Beloit Health System Inc., Beloit WI 53511-1842. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Donnelly, Michael A can be contacted via phone (608) 364-2200.Contact Information
Primary practice address
1905 E. Huebbe Parkway Beloit Health System Inc.
Beloit WI 53511-1842
Phone: (608) 364-2200
Fax: (608) 364-2705
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | 33488021 | Wisconsin |
Allopathic & Osteopathic Physicians / Urology | 208800000X | 036-075916 | Illinois |
Profile Details
NPI number | 1831107671 |
---|---|
LBN Legal business name | Donnelly, Michael A |
Credentials | DO FACOS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 4th, 2006 |
Last updated | Oct 19th, 2011 - about 13 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 | 1831107671 | NPPES |
Other | 10631 | DEAN HEALTH PLAN HMO | |
MEDICAID | 1831107671 | DEAN HEALTH PLAN HMO |
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