O'Connor, Carolyn Fawn

O'Connor, Carolyn Fawn is an individual health care provider with primary practice located at 500 J Clyde Morris Blvd , Newport News VA 23601-1929. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. O'Connor, Carolyn Fawn can be contacted via phone (757) 594-2160.

Contact Information

Primary practice address
500 J Clyde Morris Blvd Newport News VA 23601-1929
Phone: (757) 594-2160
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 0101055533 Virginia

Profile Details

NPI number 1093703407
LBN Legal business name O'Connor, Carolyn Fawn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Nov 12th, 2007 - about 17 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 1093703407 NPPES
North Carolina MEDICAID 89066E5

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