Donovan, William Patrick

Donovan, William Patrick is an individual health care provider with primary practice located at 721 Bayou Pines East Dr , Lake Charles LA 70601-7183. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Donovan, William Patrick can be contacted via phone (337) 494-4768.

Contact Information

Primary practice address
721 Bayou Pines East Dr Lake Charles LA 70601-7183
Phone: (337) 494-4768
Fax: (337) 494-4766
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN087856AP05471 Louisiana

Profile Details

NPI number 1750549945
LBN Legal business name Donovan, William Patrick
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2008
Last updated Jan 26th, 2011 - 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 1750549945 NPPES
Louisiana MEDICAID 2134230

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