O'Connor, Judith Ann
O'Connor, Judith Ann is an individual health care provider with primary practice located at 1200 N Phillips Ave Ste 14400 , Oklahoma City OK 73104-4600. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is her primary health care specialty. O'Connor, Judith Ann can be contacted via phone (405) 271-5312.Contact Information
Primary practice address
1200 N Phillips Ave Ste 14400
Oklahoma City OK 73104-4600
Phone: (405) 271-5312
Fax: (405) 271-1151
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD00045522 | Washington |
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | E5409 | Arkansas |
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 28114 | Oklahoma |
Profile Details
NPI number | 1477594992 |
---|---|
LBN Legal business name | O'Connor, Judith Ann |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 8th, 2006 |
Last updated | Oct 13th, 2014 - about 10 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 | 1477594992 | NPPES |
Arkansas | MEDICAID | 1659580001 | |
Arkansas | MEDICAID | 8437717 |
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