Donovan, David

Donovan, David is an sole proprietor health care provider with primary practice located at 7611 State Line Rd Ste 319 , Kansas City MO 64114-5409. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Donovan, David can be contacted via phone (816) 786-1772.

Contact Information

Primary practice address
7611 State Line Rd Ste 319 Kansas City MO 64114-5409
Phone: (816) 786-1772
Fax: (816) 756-1772
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X PY01519 Missouri

Profile Details

NPI number 1114052909
LBN Legal business name Donovan, David
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2007
Last updated Aug 11th, 2014 - about 11 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 1114052909 NPPES
Missouri Other 16878035 BLUE CROSS BLUE SHIELD

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