O'Brien, Keith Richard

O'Brien, Keith Richard is an individual health care provider with primary practice located at 2600 Main St Ste 119 , Bridgeport CT 06606-5305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. O'Brien, Keith Richard can be contacted via phone (203) 338-8760.

Contact Information

Primary practice address
2600 Main St Ste 119 Bridgeport CT 06606-5305
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 64924 Connecticut

Profile Details

NPI number 1740667815
LBN Legal business name O'Brien, Keith Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2015
Last updated Jul 15th, 2020 - about 4 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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