Donovan, Andrew M

Donovan, Andrew M is an individual health care provider with primary practice located at 13328 Shelbyville Rd , Louisville KY 40223-3936. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Donovan, Andrew M can be contacted via phone (502) 254-2223.

Contact Information

Primary practice address
13328 Shelbyville Rd Louisville KY 40223-3936
Phone: (502) 254-2223
Fax: (502) 254-2525
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01047227A Indiana

Profile Details

NPI number 1568458586
LBN Legal business name Donovan, Andrew M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Apr 24th, 2024 - about 2 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 1568458586 NPPES
Indiana MEDICAID 300047045
Indiana Other 351708493
Indiana MEDICAID 200153740A
Indiana MEDICAID 7100071770

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