O'Brien, Edward

O'Brien, Edward is an individual health care provider with primary practice located at 9930 Watson Rd , Saint Louis MO 63126-1827. He recently has only one registered license in Allopathic & Osteopathic Physicians / Body Imaging, which is considered as his primary health care specialty. O'Brien, Edward can be contacted via phone (314) 984-8827.

Contact Information

Primary practice address
9930 Watson Rd Saint Louis MO 63126-1827
Phone: (314) 984-8827
Fax: (314) 984-0736
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 03604249 Illinois
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X MO31097 Missouri

Profile Details

NPI number 1174527584
LBN Legal business name O'Brien, Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Jul 1st, 2008 - about 16 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 1174527584 NPPES
Missouri MEDICAID 200439495

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