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Individual

DR. JEFFREY GEORGE DONATELLO

Active
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Individual

DR. JEFFREY GEORGE DONATELLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR1052
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017993
ANTHEM ME PROVIDER ID
ME
01
—
0500359Y0ME01
ANTHEM NH PROVIDER ID
NH
01
—
1041352
AETNA PROVIDER ID
ME
01
—
2050690001
CIGNA PROVIDER ID
ME
01
—
MN0004
HPHC PROVIDER ID
ME
Enumeration date
02/23/2006
Last updated
01/12/2010
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