Donovan, Elaine

Donovan, Elaine is an sole proprietor health care provider with primary practice located at 323 W Walnut St Suite 219, Johnson City TN 37604-6760. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Donovan, Elaine can be contacted via phone (423) 434-9943.

Contact Information

Primary practice address
323 W Walnut St Suite 219 Johnson City TN 37604-6760
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X PE0000011186 Tennessee

Profile Details

NPI number 1104902402
LBN Legal business name Donovan, Elaine
Credentials M.ED. L.P.E.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2006
Last updated Jul 8th, 2007 - about 14 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 1104902402 NPPES
Tennessee Other 305-8435 BCBS OF TN

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