Individual
DR. JEFFREY GEORGE DONATELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
76 US ROUTE 1 BY-PASS, KITTERY, ME 03904
(207) 438-9339
(207) 438-9009
Mailing address
PO BOX 416, ELIOT, ME 03903-0416
(207) 438-9339
(207) 438-9009
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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