Donahue, Jason M

Donahue, Jason M is an individual health care provider with primary practice located at 5161 Cardinal Park Drive , Saginaw MI 48604-9435. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Donahue, Jason M can be contacted via phone (989) 797-2400.

Contact Information

Primary practice address
5161 Cardinal Park Drive Saginaw MI 48604-9435
Phone: (989) 797-2400
Fax: (989) 249-1035
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 004096 Michigan

Profile Details

NPI number 1548265630
LBN Legal business name Donahue, Jason M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Apr 7th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548265630 NPPES
Michigan MEDICAID 9404335557

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