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
Phone: (601) 947-3377
Fax: (601) 947-3380
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285747089 | NPPES |
| Mississippi | MEDICAID | 0117316 | |
| Mississippi | Other | 010056457 | |
| Mississippi | Other | C00960 | |
| Mississippi | Other | CN0018 |
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