O'Donnell, Joseph J

O'Donnell, Joseph J is an individual health care provider with primary practice located at 4150 Nelson Rd Building G, Suite 3, Lake Charles LA 70605-4148. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. O'Donnell, Joseph J can be contacted via phone (337) 562-3732.

Contact Information

Primary practice address
4150 Nelson Rd Building G, Suite 3 Lake Charles LA 70605-4148
Fax: (337) 562-3699
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 08602R Louisiana

Profile Details

NPI number 1508851361
LBN Legal business name O'Donnell, Joseph J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Nov 16th, 2012 - about 13 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 1508851361 NPPES
Louisiana MEDICAID 1910830
Louisiana Other 4601931

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