Donovan, Matthew James

Donovan, Matthew James is an sole proprietor health care provider with primary practice located at 103 Garland St , Everett MA 02149-5066. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Donovan, Matthew James can be contacted via phone (617) 389-6270.

Contact Information

Primary practice address
103 Garland St Everett MA 02149-5066
Phone: (617) 389-6270
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1972186146
LBN Legal business name Donovan, Matthew James
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2021
Last updated Nov 15th, 2021 - about 5 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 1972186146 NPPES
Massachusetts Other PA8320 BOARD OF REGISTRATION OF PHYSICIAN ASSISTANTS

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