O'Donnell, Philip J

O'Donnell, Philip J is an individual health care provider with primary practice located at 104 Selma Dr , Winchester VA 22601-3834. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. O'Donnell, Philip J can be contacted via phone (540) 678-2800.

Contact Information

Primary practice address
104 Selma Dr Winchester VA 22601-3834
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0101028422 Virginia

Profile Details

NPI number 1871596924
LBN Legal business name O'Donnell, Philip J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Mar 31st, 2021 - about 3 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 1871596924 NPPES
Virginia Other 3119593 MAMSI
Virginia MEDICAID 006071813 MAMSI
Virginia MEDICAID 0083655000 MAMSI
Virginia Other 08240900000 MAMSI
Virginia Other 502802 MAMSI
Virginia Other 9318661 MAMSI
Virginia Other C00075 MAMSI
Virginia Other 541003042003 MAMSI
Virginia Other 014333 MAMSI
Virginia Other 44245 MAMSI
Virginia MEDICAID 7551711 00 MAMSI

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