Donovan, Timothy B

Donovan, Timothy B is an individual health care provider with primary practice located at 11995 Singletree Ln Ste 500 , Eden Prairie MN 55344-5349. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Donovan, Timothy B can be contacted via phone (952) 595-1301.

Contact Information

Primary practice address
11995 Singletree Ln Ste 500 Eden Prairie MN 55344-5349
Fax: (612) 294-4903
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 27555 Tennessee

Profile Details

NPI number 1144223306
LBN Legal business name Donovan, Timothy B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Mar 6th, 2024 - about 8 months 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 1144223306 NPPES
Tennessee MEDICAID 3851595

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