O'Hearn, James J
O'Hearn, James J is an individual health care provider with primary practice located at 2019 S 6Th St , Brainerd MN 56401-4528. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. O'Hearn, James J can be contacted via phone (218) 822-4242.Contact Information
Primary practice address
2019 S 6Th St
Brainerd MN 56401-4528
Phone: (218) 822-4242
Fax: (218) 822-3758
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 42015 | Minnesota |
Profile Details
NPI number | 1467483776 |
---|---|
LBN Legal business name | O'Hearn, James J |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 5th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1467483776 | NPPES |
Minnesota | Other | 0120300 | PREFERRED ONE |
Minnesota | Other | 21G130H | PREFERRED ONE |
Minnesota | MEDICAID | 1601238 | PREFERRED ONE |
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