Donovan, Kathryn Marie

Donovan, Kathryn Marie is an sole proprietor health care provider with primary practice located at 4961 Rice Lake Rd Suite #103, Duluth MN 55803-8438. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Donovan, Kathryn Marie can be contacted via phone (218) 391-9976.

Contact Information

Primary practice address
4961 Rice Lake Rd Suite #103 Duluth MN 55803-8438
Phone: (218) 391-9976
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3224 Minnesota

Profile Details

NPI number 1053304386
LBN Legal business name Donovan, Kathryn Marie
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2005
Last updated Jul 20th, 2012 - 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 1053304386 NPPES
Minnesota Other 2157492 FIRST HEALTH
Minnesota MEDICAID 558525200 FIRST HEALTH
Minnesota Other 231905 FIRST HEALTH
Minnesota Other 62G00DO FIRST HEALTH

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