O'Bannon, John M

O'Bannon, John M is an individual health care provider with primary practice located at 7301 Forest Ave Suite 300, Richmond VA 23226-3792. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. O'Bannon, John M can be contacted via phone (804) 288-2742.

Contact Information

Primary practice address
7301 Forest Ave Suite 300 Richmond VA 23226-3792
Fax: (804) 288-9053
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 0101025330 Virginia

Profile Details

NPI number 1720059900
LBN Legal business name O'Bannon, John M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Jan 26th, 2022 - about 2 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 1720059900 NPPES
Virginia MEDICAID 6171729

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