O'Brien, Michael Dennis

O'Brien, Michael Dennis is an individual health care provider with primary practice located at 560 S Loop Rd , Edgewood KY 41017-3405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. O'Brien, Michael Dennis can be contacted via phone (859) 301-2663.

Contact Information

Primary practice address
560 S Loop Rd Edgewood KY 41017-3405
Phone: (859) 301-2663
Fax: (859) 301-0655
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 18785 Kentucky

Profile Details

NPI number 1306842661
LBN Legal business name O'Brien, Michael Dennis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated May 11th, 2015 - about 10 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 1306842661 NPPES
Kentucky Other 000000033978 ANTHEM
Kentucky Other 428850001 ANTHEM
Kentucky Other CB8861 ANTHEM
Kentucky MEDICAID 64187859 ANTHEM
Kentucky Other 90008962 ANTHEM
Kentucky Other 200039818 ANTHEM

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