Donegan, Samuel P

Donegan, Samuel P is an individual health care provider with primary practice located at 7550 Teague Rd Suite 107, Hanover MD 21076-1339. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Donegan, Samuel P can be contacted via phone (410) 787-4897.

Contact Information

Primary practice address
7550 Teague Rd Suite 107 Hanover MD 21076-1339
Phone: (410) 787-4897
Fax: (410) 595-1933
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X D0068818 Maryland

Profile Details

NPI number 1710989322
LBN Legal business name Donegan, Samuel P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Dec 8th, 2010 - about 16 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 1710989322 NPPES
Maryland Other 152599ZEZT MEDICARE PTAN
Maryland Other 950201 MEDICARE PTAN
Maryland Other 165767 MEDICARE PTAN
Maryland Other Q818-0019 MEDICARE PTAN
Maryland MEDICAID 022452900 MEDICARE PTAN

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