Shively, Donovan Paul
Shively, Donovan Paul is an sole proprietor health care provider with primary practice located at 4397 Edinburg Ct , Fairfield CA 94534. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Shively, Donovan Paul can be contacted via phone (707) 864-2311.Contact Information
Primary practice address
4397 Edinburg Ct
Fairfield CA 94534
Phone: (707) 864-2311
Fax: (707) 864-2317
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | G21888 | California |
Profile Details
| NPI number | 1063485217 |
|---|---|
| LBN Legal business name | Shively, Donovan Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Oct 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063485217 | NPPES |
| California | MEDICAID | 00G218880 |
Popular Providers
-
Lin, Andrew Peter
1860 Pennsylvania Ave Suite 300, Fairfield CA 94533-3590 -
Venegas, Eric J
5007 Portico Way , Midland TX 79707 -
Blair, Frederick C
1234 Empire St , Fairfield CA 94533-5711 -
Pahlavan, Pantea
1860 Pennsylvania Ave Suite 300A, Fairfield CA 94533-3590 -
Snow, Shanna Rose
1860 Pennsylvania Ave Suite 300, Fairfield CA 94533-3590 -
Mccarville, John L
525 Branson Landing Blvd Ste 408 , Branson MO 65616-2192 -
Hahn, Ruth A
1255 Travis Blvd , Fairfield CA 94533-4801 -
Nevin, Philip C
335 Parrish St , Canandaigua NY 14424-1728