O'Brien, Charles

O'Brien, Charles is an individual health care provider with primary practice located at 1212 E Sherman Blvd , Muskegon MI 49444-1879. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. O'Brien, Charles can be contacted via phone (231) 727-5211.

Contact Information

Primary practice address
1212 E Sherman Blvd Muskegon MI 49444-1879
Fax: (231) 727-4571
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 4301033444 Michigan

Profile Details

NPI number 1700830478
LBN Legal business name O'Brien, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Aug 16th, 2012 - 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 1700830478 NPPES
Michigan Other N94150004 MEDICARE
Michigan MEDICAID 4531639 MEDICARE

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