Donovan, John
Donovan, John is an individual health care provider with primary practice located at 3099 River Rd S , Salem OR 97302-9754. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Donovan, John can be contacted via phone (503) 581-1567.Contact Information
Primary practice address
3099 River Rd S
Salem OR 97302-9754
Phone: (503) 581-1567
Fax: (503) 399-1229
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | BD1452399 | Oregon |
Profile Details
| NPI number | 1407850852 |
|---|---|
| LBN Legal business name | Donovan, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Oct 31st, 2011 - about 14 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 | 1407850852 | NPPES |
| Oregon | MEDICAID | 044987 |
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