Donahue, Lee Ellen
Donahue, Lee Ellen is an sole proprietor health care provider with primary practice located at 1 Washington Ave Ste 300 , Logan WV 25601-3966. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Donahue, Lee Ellen can be contacted via phone (304) 710-8541.Contact Information
Primary practice address
1 Washington Ave Ste 300
Logan WV 25601-3966
Phone: (304) 710-8541
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | 18-925 | West Virginia |
Profile Details
| NPI number | 1497498836 |
|---|---|
| LBN Legal business name | Donahue, Lee Ellen |
| Credentials | PRSS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 14th, 2022 |
| Last updated | Apr 14th, 2022 - about 4 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 | 1497498836 | NPPES |
| West Virginia | MEDICAID | 18-925 |
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