O Brien, John Dennis

O Brien, John Dennis is an individual health care provider with primary practice located at 410 N 12Th St Suite 100, Oskaloosa IA 52577-2495. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. O Brien, John Dennis can be contacted via phone (641) 672-3360.

Contact Information

Primary practice address
410 N 12Th St Suite 100 Oskaloosa IA 52577-2495
Phone: (641) 672-3360
Fax: (641) 672-3366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 29352 Iowa

Profile Details

NPI number 1497740203
LBN Legal business name O Brien, John Dennis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Dec 5th, 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 1497740203 NPPES
Iowa MEDICAID 0097964
Iowa Other 51223
Iowa Other 62769
Iowa Other G005
Iowa Other 42068106028

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