O'Connell, Michael Jeffrey
O'Connell, Michael Jeffrey is an individual health care provider with primary practice located at 2435 S Telshor Blvd , Las Cruces NM 88011-5029. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. O'Connell, Michael Jeffrey can be contacted via phone (575) 522-7798.Contact Information
Primary practice address
2435 S Telshor Blvd
Las Cruces NM 88011-5029
Phone: (575) 522-7798
Fax: (575) 522-3415
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R37541 | New Mexico |
Profile Details
| NPI number | 1447253927 |
|---|---|
| LBN Legal business name | O'Connell, Michael Jeffrey |
| Credentials | Certified Family Nurse Practitioner (CFNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Sep 15th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447253927 | NPPES |
| New Mexico | Other | NM016345 | BLUE CROSS BLUE SHIELD |
| New Mexico | MEDICAID | S9749 | BLUE CROSS BLUE SHIELD |
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