Donovan, William

Donovan, William is an individual health care provider with primary practice located at 326 Washington St , Norwich CT 06360-2740. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Donovan, William can be contacted via phone (860) 823-6303.

Contact Information

Primary practice address
326 Washington St Norwich CT 06360-2740
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35355 Connecticut

Profile Details

NPI number 1689660490
LBN Legal business name Donovan, William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Sep 6th, 2018 - about 6 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 1689660490 NPPES
Connecticut MEDICAID 1353557

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