Mcconville, Owen Robert

Mcconville, Owen Robert is an individual health care provider with primary practice located at 2 Pond Park Rd. Ste. 102, Hingham MA 02043-4309. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mcconville, Owen Robert can be contacted via phone (781) 337-5555.

Contact Information

Primary practice address
2 Pond Park Rd. Ste. 102 Hingham MA 02043-4309
Phone: (781) 337-5555
Fax: (781) 331-0300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 57979 Massachusetts

Profile Details

NPI number 1114928280
LBN Legal business name Mcconville, Owen Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Oct 11th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114928280 NPPES
Other 106348 BLUE SHIELD
MEDICAID 3026604 BLUE SHIELD
Other B20457701 BLUE SHIELD
Other 057979 BLUE SHIELD
Other 341179 BLUE SHIELD
Other 171347 BLUE SHIELD
Other 900078 BLUE SHIELD

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