Obrien, Mark E

Obrien, Mark E is an individual health care provider with primary practice located at 800 M 139 , Benton Harbor MI 49022-3881. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Obrien, Mark E can be contacted via phone (269) 927-5400.

Contact Information

Primary practice address
800 M 139 Benton Harbor MI 49022-3881
Phone: (269) 927-5400
Fax: (269) 927-5493
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301080677 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301080677 Michigan

Profile Details

NPI number 1841221348
LBN Legal business name Obrien, Mark E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Jan 7th, 2013 - about 12 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 1841221348 NPPES
Michigan MEDICAID 4605349

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