Donovan, Peter C.

Donovan, Peter C. is an individual health care provider with primary practice located at 818 Congress St , Portland ME 04102-3112. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Donovan, Peter C. can be contacted via phone (207) 773-8161.

Contact Information

Primary practice address
818 Congress St Portland ME 04102-3112
Phone: (207) 773-8161
Fax: (207) 773-1489
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA-666 Maine

Profile Details

NPI number 1366549438
LBN Legal business name Donovan, Peter C.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Aug 3rd, 2012 - about 13 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 1366549438 NPPES
Maine MEDICAID 273630099

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