Donovan, Michele Ann
Donovan, Michele Ann is an sole proprietor health care provider with primary practice located at 2015 Sam Rittenberg Blvd , Charleston SC 29407-4601. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Donovan, Michele Ann can be contacted via phone (843) 763-2247.Contact Information
Primary practice address
2015 Sam Rittenberg Blvd
Charleston SC 29407-4601
Phone: (843) 763-2247
Fax: (843) 763-1068
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1308 | South Carolina |
Profile Details
| NPI number | 1336130095 |
|---|---|
| LBN Legal business name | Donovan, Michele Ann |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Jan 30th, 2008 - about 16 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 | 1336130095 | NPPES |
| South Carolina | MEDICAID | D13082 |
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