Jeffrey George Donatello, DC
Individual provider Active NPI Chiropractor · Kittery, ME
NPI 1083689863 · NPPES record last updated Jan 12, 2010
Key facts
- NPI
- 1083689863
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CR1052 (ME)
- Practice address
- 76 US Route 1 by-Pass
Kittery, ME 03904 - Phone
- (207) 438-9339
- Fax
- (207) 438-9009
- NPI assigned
- Feb 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 974 | NH | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CR1052 | ME | Yes |
Addresses
Primary practice location
76 US Route 1 by-Pass
Kittery, ME 03904
Mailing address
PO Box 416
Eliot, ME 03903-0416
Phone (207) 438-9339
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017993 | Other | ME | ANTHEM ME PROVIDER ID |
| 0500359Y0ME01 | Other | NH | ANTHEM NH PROVIDER ID |
| 1041352 | Other | ME | AETNA PROVIDER ID |
| MN0004 | Other | ME | HPHC PROVIDER ID |
| 2050690001 | Other | ME | CIGNA PROVIDER ID |
Other providers in Kittery, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.