O'Brien, John J.

O'Brien, John J. is an individual health care provider with primary practice located at 747 6Th Ave S , St Petersburg FL 33701-4509. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. O'Brien, John J. can be contacted via phone (727) 898-3647.

Contact Information

Primary practice address
747 6Th Ave S St Petersburg FL 33701-4509
Phone: (727) 898-3647
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME0019673 Florida

Profile Details

NPI number 1023007861
LBN Legal business name O'Brien, John J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Jul 9th, 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 1023007861 NPPES
Florida Other 52821 BCBS
Florida MEDICAID 06119130001 BCBS

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