O'Brien, Austin John

O'Brien, Austin John is an sole proprietor health care provider with primary practice located at 595 Pawtucket Blvd. 2Nd Fl 2Nd Floor, Lowell MA 01852. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. O'Brien, Austin John can be contacted via phone (978) 459-8447.

Contact Information

Primary practice address
595 Pawtucket Blvd. 2Nd Fl 2Nd Floor Lowell MA 01852
Phone: (978) 459-8447
Fax: (978) 459-6125
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 76888 Massachusetts

Profile Details

NPI number 1104808138
LBN Legal business name O'Brien, Austin John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2005
Last updated Dec 17th, 2019 - about 5 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 1104808138 NPPES
Massachusetts Other J13899 BS
Massachusetts MEDICAID 3116930 BS

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