O'Connell, Christopher M.

O'Connell, Christopher M. is an individual health care provider with primary practice located at 15420 19 Mile Rd Ste. 200, Clinton Township MI 48038-6339. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. O'Connell, Christopher M. can be contacted via phone (586) 649-6104.

Contact Information

Primary practice address
15420 19 Mile Rd Ste. 200 Clinton Township MI 48038-6339
Phone: (586) 649-6104
Fax: (586) 263-0250
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0102206803 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101014284 Michigan

Profile Details

NPI number 1528017878
LBN Legal business name O'Connell, Christopher M.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2006
Last updated Jun 2nd, 2022 - about 2 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 1528017878 NPPES
Michigan MEDICAID 4412861
Michigan MEDICAID 4412870
Michigan MEDICAID 4648909
Michigan MEDICAID 4412880

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