O'Connor, Brian
O'Connor, Brian is an individual health care provider with primary practice located at 1562 Opossumtown Pike , Frederick MD 21702-4337. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. O'Connor, Brian can be contacted via phone (301) 662-8477.Contact Information
Primary practice address
1562 Opossumtown Pike
Frederick MD 21702-4337
Phone: (301) 662-8477
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | D0031761 | Maryland |
Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | D31761 | Maryland |
Profile Details
NPI number | 1174515050 |
---|---|
LBN Legal business name | O'Connor, Brian |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 17th, 2005 |
Last updated | May 15th, 2019 - about 6 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 | 1174515050 | NPPES |
Other | 28658979 | AETNA PVN | |
Other | W575-0002 | AETNA PVN | |
Other | 523014-01 | AETNA PVN | |
MEDICAID | 81961100 | AETNA PVN | |
Other | 971641 | AETNA PVN |
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