Donoghue, Lydia Joy

Donoghue, Lydia Joy is an individual health care provider with primary practice located at 3901 Beaubien St Dept Of Pediatric Surgery, Detroit MI 48201-2119. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as her primary health care specialty. Donoghue, Lydia Joy can be contacted via phone (313) 831-3220.

Contact Information

Primary practice address
3901 Beaubien St Dept Of Pediatric Surgery Detroit MI 48201-2119
Phone: (313) 831-3220
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 35095454 Ohio
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 4301077977 Michigan

Profile Details

NPI number 1730324096
LBN Legal business name Donoghue, Lydia Joy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2008
Last updated Nov 3rd, 2023 - about 3 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 1730324096 NPPES
Ohio Other 00000674254 ANTHEM
Ohio Other 9244570 ANTHEM
Ohio Other 07021 ANTHEM
Ohio MEDICAID 3044351 ANTHEM

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