O'Connell, Michael Robert
O'Connell, Michael Robert is an sole proprietor health care provider with primary practice located at 404 W Pine St Ste 14, Lodi CA 95240-2048. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. O'Connell, Michael Robert can be contacted via phone (209) 333-3332.Contact Information
Primary practice address
404 W Pine St Ste 14
Lodi CA 95240-2048
Phone: (209) 333-3332
Fax: (209) 367-8504
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC14176 | California |
Profile Details
| NPI number | 1427168509 |
|---|---|
| LBN Legal business name | O'Connell, Michael Robert |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Mar 8th, 2019 - about 5 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 | 1427168509 | NPPES |
| California | MEDICAID | 6628712 |
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