Donoghue, John Michael
Donoghue, John Michael is an individual health care provider with primary practice located at Suite 208A 3771 Nesconset Hwy. , South Setauket NY 11720-1154. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Donoghue, John Michael can be contacted via phone (631) 751-9600.Contact Information
Primary practice address
Suite 208A 3771 Nesconset Hwy.
South Setauket NY 11720-1154
Phone: (631) 751-9600
Fax: (631) 369-5433
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R016427-1 | New York |
Profile Details
| NPI number | 1376580555 |
|---|---|
| LBN Legal business name | Donoghue, John Michael |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1376580555 | NPPES |
| New York | MEDICAID | 02522021 |
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