O'Brien, Charles Michael

O'Brien, Charles Michael is an sole proprietor health care provider with primary practice located at 836 North Dean Rd. , Auburn AL 36830-2858. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. O'Brien, Charles Michael can be contacted via phone (334) 821-8800.

Contact Information

Primary practice address
836 North Dean Rd. Auburn AL 36830-2858
Fax: (334) 821-8838
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3882 Alabama

Profile Details

NPI number 1104961648
LBN Legal business name O'Brien, Charles Michael
Credentials DMD, PC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2007
Last updated May 18th, 2015 - about 10 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 1104961648 NPPES
Alabama Other 00523525 UNITED CONCORDIA
Alabama Other 510-90422 UNITED CONCORDIA

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