O'Brien, Charles P

O'Brien, Charles P is an individual health care provider with primary practice located at 1305 W 18Th St , Sioux Falls SD 57105-0401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. O'Brien, Charles P can be contacted via phone (605) 328-2929.

Contact Information

Primary practice address
1305 W 18Th St Sioux Falls SD 57105-0401
Phone: (605) 328-2929
Fax: (605) 328-8429
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2515 South Dakota

Profile Details

NPI number 1124023171
LBN Legal business name O'Brien, Charles P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jul 8th, 2007 - about 17 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 1124023171 NPPES
South Dakota MEDICAID 6000883

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