Oberdoerster, Michael Paul
Oberdoerster, Michael Paul is an sole proprietor health care provider with primary practice located at 2600 Victory Pkwy , Cincinnati OH 45206-1711. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Oberdoerster, Michael Paul can be contacted via phone (513) 872-5863.Contact Information
Primary practice address
2600 Victory Pkwy
Cincinnati OH 45206-1711
Phone: (513) 872-5863
Fax: (513) 861-1718
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 35053107 | Ohio |
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 35053107 | Ohio |
Profile Details
| NPI number | 1083762371 |
|---|---|
| LBN Legal business name | Oberdoerster, Michael Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2007 |
| 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 | 1083762371 | NPPES |
| Ohio | MEDICAID | 0645837 |
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