Donovan, Leslie A
Donovan, Leslie A is an individual health care provider with primary practice located at 159 W Putnam Ave , Greenwich CT 06830-5329. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Donovan, Leslie A can be contacted via phone (203) 869-7080.Contact Information
Primary practice address
159 W Putnam Ave
Greenwich CT 06830-5329
Phone: (203) 869-7080
Fax: (203) 869-7034
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 036691 | Connecticut |
| Other Service Providers / Specialist | 174400000X | 225840-1 | New York |
Profile Details
| NPI number | 1134194046 |
|---|---|
| LBN Legal business name | Donovan, Leslie A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1134194046 | NPPES |
| Connecticut | Other | 010036691CT01 | ANTHEM BCBS OF CT |
| Connecticut | Other | CU5884 | ANTHEM BCBS OF CT |
| Connecticut | Other | P1839314 | ANTHEM BCBS OF CT |
| Connecticut | Other | 036691 | ANTHEM BCBS OF CT |
| Connecticut | Other | 2065341 | ANTHEM BCBS OF CT |
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