Daniel Shawn Donovan
Individual provider Active NPI Health Educator · Stigler, OK
NPI 1841596574 · NPPES record last updated Jan 27, 2011
Key facts
- NPI
- 1841596574
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health Educator 174H00000X
- Practice address
- 803 NW 7TH St
Stigler, OK 74462-2794 - Phone
- (918) 967-8558
- NPI assigned
- Jan 27, 2011
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | Yes |
Addresses
Primary practice location
803 NW 7TH St
Stigler, OK 74462-2794
Mailing address
PO Box 447
803 N.W. 7TH St
Stigler, OK 74462-0447
Phone (918) 967-8558
Other providers in Stigler, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2011. 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.