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Contact Information

NICHOLAS DONOHUE
2861 NE INDEPENDENCE AVE STE 201
LEE'S SUMMIT, MO64064-2379
 Phone: 816-525-2840
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for NICHOLAS DONOHUE · (Male)

NPI # 1457884488
Status Active
Credentials
Entity Individual
Enumeration date 04/06/2017
Last updated 03/22/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2022037936
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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