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:
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Health care specialties

SpecialtyCodeLicense #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 17 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 1083762371 NPPES
Ohio MEDICAID 0645837

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