O'Connell, Michael John
O'Connell, Michael John is an sole proprietor health care provider with primary practice located at 812 Paxton Rd Sw , Rochester MN 55902-6643. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. O'Connell, Michael John can be contacted via phone (507) 289-3675.Contact Information
Primary practice address
812 Paxton Rd Sw
Rochester MN 55902-6643
Phone: (507) 289-3675
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 19215 | Minnesota |
Profile Details
NPI number | 1033110259 |
---|---|
LBN Legal business name | O'Connell, Michael John |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 10th, 2005 |
Last updated | Sep 3rd, 2010 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033110259 | NPPES |
Pennsylvania | MEDICAID | 0018913800001 |
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