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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336130095 NPPES
South Carolina MEDICAID D13082

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