O'Donovan, Alan
O'Donovan, Alan is an individual health care provider with primary practice located at 221 Mahalani St , Wailuku HI 96793-2526. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. O'Donovan, Alan can be contacted via phone (808) 242-6464.Contact Information
Primary practice address
221 Mahalani St
Wailuku HI 96793-2526
Phone: (808) 242-6464
Fax: (808) 442-5512
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD-11102 | Hawaii |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD-11102 | Hawaii |
Profile Details
NPI number | 1619915311 |
---|---|
LBN Legal business name | O'Donovan, Alan |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 3rd, 2006 |
Last updated | Mar 19th, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1619915311 | NPPES |
Hawaii | Other | MD-11102 | HI LIC |
Hawaii | MEDICAID | 50606603 | HI LIC |
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