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Individual
DR. MARTIN C DONNELLY
Active
Individual
DR. MARTIN C DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC,
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556372
VA
111N00000X
Chiropractor
7.002086
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07950876
AETNA PPO
—
01
—
1066011
AETNA HMO
—
01
—
196849
ANTHEM
—
01
—
200994125
UNITED HEALTHCARE
—
01
—
20994125
KAISER
—
01
—
2159023
MAMSI
—
01
—
602196300
DEPT OF LABOR
—
01
—
698870
CIGNA PPO
—
01
—
K218
200994125
—
Enumeration date
05/04/2007
Last updated
08/24/2020
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