Donovan, Melissa J
Donovan, Melissa J is an sole proprietor health care provider with primary practice located at 4228 Houma Blvd Fl 3 , Metairie LA 70006-3000. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is her primary health care specialty. Donovan, Melissa J can be contacted via phone (504) 454-2222.Contact Information
Primary practice address
4228 Houma Blvd Fl 3
Metairie LA 70006-3000
Phone: (504) 454-2222
Fax: (504) 454-2388
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD205397 | Louisiana |
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | MD.205397 | Louisiana |
Profile Details
NPI number | 1912115411 |
---|---|
LBN Legal business name | Donovan, Melissa J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 18th, 2007 |
Last updated | Dec 11th, 2023 - about last year |
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 | 1912115411 | NPPES |
Louisiana | MEDICAID | 2196979 |
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