O'Donnell, Sean P

O'Donnell, Sean P is an individual health care provider with primary practice located at 2173 Centerville Pl Ste A , Tallahassee FL 32308-8303. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. O'Donnell, Sean P can be contacted via phone (850) 385-0144.

Contact Information

Primary practice address
2173 Centerville Pl Ste A Tallahassee FL 32308-8303
Phone: (850) 385-0144
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 75000137A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X Florida

Profile Details

NPI number 1497134845
LBN Legal business name O'Donnell, Sean P
Credentials CAA
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2015
Last updated Dec 29th, 2023 - about 2 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 1497134845 NPPES
Indiana Other 095200159 MEDICARE PTAN

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