Donovan, John Cornelius

Donovan, John Cornelius is an sole proprietor health care provider with primary practice located at 161 Riverside Dr Suite M08, Binghamton NY 13905-4176. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Donovan, John Cornelius can be contacted via phone (607) 770-8000.

Contact Information

Primary practice address
161 Riverside Dr Suite M08 Binghamton NY 13905-4176
Phone: (607) 770-8000
Fax: (607) 770-9755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 003345 New York

Profile Details

NPI number 1184697567
LBN Legal business name Donovan, John Cornelius
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2006
Last updated Aug 17th, 2015 - about 11 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 1184697567 NPPES
New York MEDICAID 00660673

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