O'Connell, Judith Ann

O'Connell, Judith Ann is an individual health care provider with primary practice located at 2510 Commons Blvd Suite 240, Beavercreek OH 45431-3820. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, which is considered as her primary health care specialty. O'Connell, Judith Ann can be contacted via phone (937) 429-8620.

Contact Information

Primary practice address
2510 Commons Blvd Suite 240 Beavercreek OH 45431-3820
Phone: (937) 429-8620
Fax: (937) 429-8629
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 34003222 Ohio

Profile Details

NPI number 1306810635
LBN Legal business name O'Connell, Judith Ann
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Aug 22nd, 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 1306810635 NPPES
Ohio MEDICAID 0509524

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