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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033110259 NPPES
Pennsylvania MEDICAID 0018913800001

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