O'Donovan, Richard M

O'Donovan, Richard M is an individual health care provider with primary practice located at 711 Wood St Ste A, Monroe LA 71201-7549. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. O'Donovan, Richard M can be contacted via phone (318) 323-8847.

Contact Information

Primary practice address
711 Wood St Ste A Monroe LA 71201-7549
Fax: (318) 327-3410
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 08579R Louisiana

Profile Details

NPI number 1467422949
LBN Legal business name O'Donovan, Richard M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Dec 3rd, 2009 - about 15 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 1467422949 NPPES
Louisiana MEDICAID 1907090

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