O'Shaughnessy, Brian E.

O'Shaughnessy, Brian E. is an individual health care provider with primary practice located at 152 W Dale St , Waterloo IA 50703-1925. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. O'Shaughnessy, Brian E. can be contacted via phone (319) 235-5060.

Contact Information

Primary practice address
152 W Dale St Waterloo IA 50703-1925
Fax: (319) 235-5061
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036-066709 Illinois

Profile Details

NPI number 1023021151
LBN Legal business name O'Shaughnessy, Brian E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Mar 24th, 2016 - about 8 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 1023021151 NPPES
Illinois MEDICAID 036066709

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