Donnelly, Elaine M
Donnelly, Elaine M is an individual health care provider with primary practice located at 380 Suwannee Trail Street , Bowling Green KY 42103. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Donnelly, Elaine M can be contacted via phone (270) 901-5000.Contact Information
Primary practice address
380 Suwannee Trail Street
Bowling Green KY 42103
Phone: (270) 901-5000
Fax: (270) 842-0054
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1427182674 |
|---|---|
| LBN Legal business name | Donnelly, Elaine M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2007 |
| Last updated | Feb 22nd, 2013 - about 13 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 | 1427182674 | NPPES |
| Kentucky | MEDICAID | 30604011 |
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