Obrien, Evan D

Obrien, Evan D is an individual health care provider with primary practice located at 1225 N Broad St Suite 3, West Deptford NJ 08096-1203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Obrien, Evan D can be contacted via phone (856) 845-0707.

Contact Information

Primary practice address
1225 N Broad St Suite 3 West Deptford NJ 08096-1203
Phone: (856) 845-0707
Fax: (856) 845-0082
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X MA63525 New Jersey

Profile Details

NPI number 1740381185
LBN Legal business name Obrien, Evan D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Sep 16th, 2008 - about 16 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 1740381185 NPPES
New Jersey Other 2003795000 KEYSTONE HEALTH PLAN EAST
New Jersey Other 232764000 KEYSTONE HEALTH PLAN EAST
New Jersey Other 2003795000 KEYSTONE HEALTH PLAN EAST

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