Provider Demographics
NPI:1619679966
Name:CHASE THE BEAR, DONOVAN (MD)
Entity Type:Individual
Prefix:
First Name:DONOVAN
Middle Name:
Last Name:CHASE THE BEAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:DONOVAN
Other - Middle Name:
Other - Last Name:CHASE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4860 Y ST # 1600
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2307
Mailing Address - Country:US
Mailing Address - Phone:916-734-3630
Mailing Address - Fax:916-734-5636
Practice Address - Street 1:4860 Y ST # 1600
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2307
Practice Address - Country:US
Practice Address - Phone:916-734-3630
Practice Address - Fax:916-734-5636
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program