O'Connor, Charles

O'Connor, Charles is an individual health care provider with primary practice located at 1311 Dowell Springs Blvd Suite 300, Knoxville TN 37909-2454. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. O'Connor, Charles can be contacted via phone (865) 588-5121.

Contact Information

Primary practice address
1311 Dowell Springs Blvd Suite 300 Knoxville TN 37909-2454
Fax: (865) 588-2126
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD20544 Tennessee

Profile Details

NPI number 1720053523
LBN Legal business name O'Connor, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated May 4th, 2017 - about 7 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 1720053523 NPPES
Tennessee MEDICAID Q008659

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