Donovan, Elizabeth
Donovan, Elizabeth is an sole proprietor health care provider with primary practice located at 3904 Old Vineyard Rd , Winston Salem NC 27104-4740. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Donovan, Elizabeth can be contacted via phone (336) 251-1180.Contact Information
Primary practice address
3904 Old Vineyard Rd
Winston Salem NC 27104-4740
Phone: (336) 251-1180
Fax: (336) 251-1181
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 122977 |
Profile Details
| NPI number | 1942636709 |
|---|---|
| LBN Legal business name | Donovan, Elizabeth |
| Credentials | BCABA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 24th, 2013 |
| Last updated | Sep 24th, 2013 - about 12 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 | 1942636709 | NPPES |
| Other | 1222977 | BCABA |
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