O'Donnell, Pat D

O'Donnell, Pat D is an individual health care provider with primary practice located at 4301 W Markham St # 540 , Little Rock AR 72205-7101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. O'Donnell, Pat D can be contacted via phone (501) 686-8000.

Contact Information

Primary practice address
4301 W Markham St # 540 Little Rock AR 72205-7101
Phone: (501) 686-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 036112655 Illinois
Allopathic & Osteopathic Physicians / Urology 208800000X C-4788 Arkansas

Profile Details

NPI number 1720074826
LBN Legal business name O'Donnell, Pat D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Mar 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720074826 NPPES
Arkansas MEDICAID 105046001
Arkansas MEDICAID 036112655

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