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
Phone: (804) 288-2742
Fax: (804) 288-9053
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720059900 | NPPES |
| Virginia | MEDICAID | 6171729 |
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