Donovan, Mary C
Donovan, Mary C is an individual health care provider with primary practice located at 20611 Watertown Rd Suite C, Waukesha WI 53186-1871. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Donovan, Mary C can be contacted via phone (262) 798-1810.Contact Information
Primary practice address
20611 Watertown Rd Suite C
Waukesha WI 53186-1871
Phone: (262) 798-1810
Fax: (262) 798-2614
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 27603 | Wisconsin |
Profile Details
| NPI number | 1083685499 |
|---|---|
| LBN Legal business name | Donovan, Mary C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 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 | 1083685499 | NPPES |
| Wisconsin | MEDICAID | 31393600 |
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