Donovan, John Cornelius
Donovan, John Cornelius is an sole proprietor health care provider with primary practice located at 161 Riverside Dr Suite M08, Binghamton NY 13905-4176. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Donovan, John Cornelius can be contacted via phone (607) 770-8000.Contact Information
Primary practice address
161 Riverside Dr Suite M08
Binghamton NY 13905-4176
Phone: (607) 770-8000
Fax: (607) 770-9755
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 003345 | New York |
Profile Details
| NPI number | 1184697567 |
|---|---|
| LBN Legal business name | Donovan, John Cornelius |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Aug 17th, 2015 - about 9 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 | 1184697567 | NPPES |
| New York | MEDICAID | 00660673 |
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