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Contact Information

DONOVAN P SHIVELY, MD
4397 EDINBURG CT
FAIRFIELD, CA94534
 Phone: 707-864-2311
 Fax: 707-864-2317
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for DONOVAN P SHIVELY · (Male)

NPI # 1063485217
Status Active
Credentials MD
Entity Individual
Enumeration date 02/08/2006
Last updated 10/08/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # G21888
  • CA Medicaid 00G218880
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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