Donovan Chiropractic and Wellness LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

4476-12 Issued in WI

Legal business name

DONOVAN CHIROPRACTIC AND WELLNESS LLC

Practice address

976 E Johnson St
Suite 900
Fond Du Lac, WI 54935-9746

Phone

(920) 251-9650

NPI assigned

Feb 19, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark J Donovan, D.C.

Title

Chiropractor

Phone

(920) 251-9650

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1871732529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "976 E JOHNSON ST",
            "address_2": "SUITE 900",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549359746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "976 E JOHNSON ST",
            "address_2": "SUITE 900",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549359746",
            "telephone_number": "920-251-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONOVAN CHIROPRACTIC AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "DONOVAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "920-251-9650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "4476-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariel Mari Doberstein
• Angeleen Dodge, SLP
• Kelly Marie Doll
• Matthew D Doll, PH.D.
• Maureen Donahue
• Mark James Donovan, D.C.
• Charissa Doolittle
• Erin Marie Doolittle, CRNA
• Doyle and Doyle SC
• Kathleen Doyle-Kelly, D.D.S.

• Clinic/Center in Fond Du Lac, WI
• Providers in Fond Du Lac, WI by specialty
• Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.