O'Hea, Eugene Kevin

O'Hea, Eugene Kevin is an sole proprietor health care provider with primary practice located at 697 Manila St , Lucedale MS 39452-6505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. O'Hea, Eugene Kevin can be contacted via phone (601) 947-3377.

Contact Information

Primary practice address
697 Manila St Lucedale MS 39452-6505
Fax: (601) 947-3380
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 14808 Mississippi

Profile Details

NPI number 1285747089
LBN Legal business name O'Hea, Eugene Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2006
Last updated Oct 17th, 2019 - about 6 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 1285747089 NPPES
Mississippi MEDICAID 0117316
Mississippi Other 010056457
Mississippi Other C00960
Mississippi Other CN0018

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