O Connor, John Joseph
O Connor, John Joseph is an individual health care provider with primary practice located at 900 S Hawthorne Rd , Winston Salem NC 27103-4417. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. O Connor, John Joseph can be contacted via phone (336) 724-6871.Contact Information
Primary practice address
900 S Hawthorne Rd
Winston Salem NC 27103-4417
Phone: (336) 724-6871
Fax: (336) 724-6871
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist | 222Z00000X | PNO695 | North Carolina |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist | 224P00000X | PNO695 | North Carolina |
Profile Details
| NPI number | 1699775700 |
|---|---|
| LBN Legal business name | O Connor, John Joseph |
| Credentials | CPO |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Jan 8th, 2008 - about 16 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 | 1699775700 | NPPES |
| North Carolina | Other | 0495 B | BLUE CROSS BLUE SHIELD |
| North Carolina | MEDICAID | 7700250 | BLUE CROSS BLUE SHIELD |
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