O'Connor, Mark
O'Connor, Mark is an individual health care provider with primary practice located at 2409 Cherry St Ste 100, Toledo OH 43608-2625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. O'Connor, Mark can be contacted via phone (419) 251-3700.Contact Information
Primary practice address
2409 Cherry St Ste 100
Toledo OH 43608-2625
Phone: (419) 251-3700
Fax: (419) 251-3835
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 350721050 | Ohio |
Profile Details
NPI number | 1245232800 |
---|---|
LBN Legal business name | O'Connor, Mark |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 12th, 2005 |
Last updated | Feb 6th, 2009 - about 15 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 | 1245232800 | NPPES |
Michigan | MEDICAID | 4140805 | |
Michigan | Other | 060056251 | |
Michigan | MEDICAID | 2018846 | |
Michigan | Other | 000000140670 | |
Michigan | Other | 02570 | |
Michigan | Other | 1105810672 |
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