Provider Demographics
NPI:1528075371
Name:DONOHOE, MICHAEL FRANCIS (DC)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:FRANCIS
Last Name:DONOHOE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 LINCOLN WOODS
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19444-1142
Mailing Address - Country:US
Mailing Address - Phone:215-402-9004
Mailing Address - Fax:
Practice Address - Street 1:57 W ORVILLA RD
Practice Address - Street 2:
Practice Address - City:HATFIELD
Practice Address - State:PA
Practice Address - Zip Code:19440-3644
Practice Address - Country:US
Practice Address - Phone:215-855-4700
Practice Address - Fax:215-361-9612
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006964L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U89221Medicare UPIN
PA055870Medicare ID - Type Unspecified