O'Donnell, Brian Patrick

O'Donnell, Brian Patrick is an sole proprietor health care provider with primary practice located at 407 Us Route 1 , Freeport ME 04032-7023. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. O'Donnell, Brian Patrick can be contacted via phone (207) 865-2023.

Contact Information

Primary practice address
407 Us Route 1 Freeport ME 04032-7023
Phone: (207) 865-2023
Fax: (207) 865-2027
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X MD13824 Maine

Profile Details

NPI number 1285656413
LBN Legal business name O'Donnell, Brian Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2006
Last updated Jul 15th, 2019 - about 6 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 1285656413 NPPES
Maine MEDICAID 010527189

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