Donatelli, John M

Donatelli, John M is an individual health care provider with primary practice located at 9255 Atlantic Dr Sw , Cedar Rapids IA 52404-8950. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Donatelli, John M can be contacted via phone (319) 396-2000.

Contact Information

Primary practice address
9255 Atlantic Dr Sw Cedar Rapids IA 52404-8950
Fax: (319) 396-5567
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD036513E Pennsylvania

Profile Details

NPI number 1487619789
LBN Legal business name Donatelli, John M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Mar 27th, 2017 - about 9 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 1487619789 NPPES
Pennsylvania MEDICAID 001135463 0009

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