Donovan, Kenya Earnessa

Donovan, Kenya Earnessa is an individual health care provider with primary practice located at 204 E College St , Bridgewater VA 22812-1507. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Donovan, Kenya Earnessa can be contacted via phone (917) 653-3425.

Contact Information

Primary practice address
204 E College St Bridgewater VA 22812-1507
Phone: (917) 653-3425
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Virginia

Profile Details

NPI number 1235787359
LBN Legal business name Donovan, Kenya Earnessa
Credentials KENYA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2019
Last updated Sep 2nd, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235787359 NPPES
New Jersey Other NA NOT NEEDED

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