Donovan, Karen G
Donovan, Karen G is an individual health care provider with primary practice located at 55 Hatchetts Hill Rd , Old Lyme CT 06371-1534. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Donovan, Karen G can be contacted via phone (800) 370-3651.Contact Information
Primary practice address
55 Hatchetts Hill Rd
Old Lyme CT 06371-1534
Phone: (800) 370-3651
Fax: (877) 515-7147
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 712085 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 004648 | Connecticut |
Profile Details
| NPI number | 1154591394 |
|---|---|
| LBN Legal business name | Donovan, Karen G |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 4th, 2008 |
| Last updated | Mar 17th, 2018 - about 6 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 | 1154591394 | NPPES |
| Connecticut | MEDICAID | 008046486 |
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