O'Connell, Brian J

O'Connell, Brian J is an sole proprietor health care provider with primary practice located at 1707 W Charleston Blvd Ste 160 , Las Vegas NV 89102-2354. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. O'Connell, Brian J can be contacted via phone (702) 671-5150.

Contact Information

Primary practice address
1707 W Charleston Blvd Ste 160 Las Vegas NV 89102-2354
Phone: (702) 671-5150
Fax: (702) 671-2259
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2013-02230 North Carolina
Allopathic & Osteopathic Physicians / Surgery 208600000X 268463 Massachusetts
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 20465 Nevada

Profile Details

NPI number 1730494741
LBN Legal business name O'Connell, Brian J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2010
Last updated May 26th, 2021 - about 3 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 1730494741 NPPES
North Carolina Other 1832R BCBS NC
North Carolina MEDICAID 1730494741 BCBS NC

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