O'Connell, John Charles

O'Connell, John Charles is an sole proprietor health care provider with primary practice located at 811 Corporate Dr Ste 101 , Lexington KY 40503-5408. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. O'Connell, John Charles can be contacted via phone (859) 296-2847.

Contact Information

Primary practice address
811 Corporate Dr Ste 101 Lexington KY 40503-5408
Fax: (859) 296-0796
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X KY36541 Kentucky

Profile Details

NPI number 1871659912
LBN Legal business name O'Connell, John Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 30th, 2006
Last updated Jul 8th, 2007 - about 18 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 1871659912 NPPES
Kentucky MEDICAID 64019656

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