Donovan, Ben O'Neill

Donovan, Ben O'Neill is an individual health care provider with primary practice located at 13555 W Mcdowell Rd Suite 304, Goodyear AZ 85395-2624. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Pediatric Urology is his primary health care specialty. Donovan, Ben O'Neill can be contacted via phone (623) 935-5522.

Contact Information

Primary practice address
13555 W Mcdowell Rd Suite 304 Goodyear AZ 85395-2624
Phone: (623) 935-5522
Fax: (623) 935-3220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 22961 Oklahoma
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 37764 Arizona

Profile Details

NPI number 1760533533
LBN Legal business name Donovan, Ben O'Neill
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Dec 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760533533 NPPES
Arizona MEDICAID 343929

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