O'Connor, Jeffrey Lawrence

O'Connor, Jeffrey Lawrence is an individual health care provider with primary practice located at 22250 Providence Dr Suite 203, Southfield MI 48075-4825. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. O'Connor, Jeffrey Lawrence can be contacted via phone (248) 569-0155.

Contact Information

Primary practice address
22250 Providence Dr Suite 203 Southfield MI 48075-4825
Phone: (248) 569-0155
Fax: (248) 569-5226
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 4301085172 Michigan

Profile Details

NPI number 1528011830
LBN Legal business name O'Connor, Jeffrey Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jan 15th, 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 1528011830 NPPES
Michigan MEDICAID 4781079

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