Bland, Donovan C
Bland, Donovan C is an individual health care provider with primary practice located at 6320 N La Cholla Blvd Ste 310, Tucson AZ 85741-3552. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bland, Donovan C can be contacted via phone (520) 219-9125.Contact Information
Primary practice address
6320 N La Cholla Blvd Ste 310
Tucson AZ 85741-3552
Phone: (520) 219-9125
Fax: (520) 219-9130
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 39770 | Kentucky |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 44536 | Arizona |
Profile Details
| NPI number | 1811966898 |
|---|---|
| LBN Legal business name | Bland, Donovan C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Jan 19th, 2012 - about 14 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 | 1811966898 | NPPES |
| Kentucky | MEDICAID | 64113251 | |
| Kentucky | Other | 000000377241 | |
| Kentucky | Other | 50008747 | |
| Kentucky | Other | 2646385000 |
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