O'Brien, John M

O'Brien, John M is an individual health care provider with primary practice located at 14700 East Old Us 12 , Chelsea MI 48118-1185. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. O'Brien, John M can be contacted via phone (734) 475-1321.

Contact Information

Primary practice address
14700 East Old Us 12 Chelsea MI 48118-1185
Phone: (734) 475-1321
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301043586 Michigan
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X 4301043586 Michigan

Profile Details

NPI number 1639268584
LBN Legal business name O'Brien, John M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Mar 27th, 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 1639268584 NPPES
Michigan MEDICAID 1396951

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