Anderson, Donovan John
Anderson, Donovan John is an individual health care provider with primary practice located at 8700 Highway 95 , Mohave Valley AZ 86440-8519. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Anderson, Donovan John can be contacted via phone (928) 768-7113.Contact Information
Primary practice address
8700 Highway 95
Mohave Valley AZ 86440-8519
Phone: (928) 768-7113
Fax: (928) 788-2481
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 13491 | Arizona |
Profile Details
| NPI number | 1356333058 |
|---|---|
| LBN Legal business name | Anderson, Donovan John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1356333058 | NPPES |
| California | MEDICAID | XPY055881 | |
| California | MEDICAID | 205288-01 |
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