O'Donnell, Joseph R.

O'Donnell, Joseph R. is an individual health care provider with primary practice located at 414 Plymouth Ave Ne , Grand Rapids MI 49505-6038. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. O'Donnell, Joseph R. can be contacted via phone (616) 454-3465.

Contact Information

Primary practice address
414 Plymouth Ave Ne Grand Rapids MI 49505-6038
Phone: (616) 454-3465
Fax: (616) 454-9004
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 032226 Michigan

Profile Details

NPI number 1245311059
LBN Legal business name O'Donnell, Joseph R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Jul 9th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1245311059 NPPES
Michigan MEDICAID 1845940

Popular Providers