Oconnell, Matthew L

Oconnell, Matthew L is an individual health care provider with primary practice located at 979 Congress Park Drive , Centerville OH 45459-4009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Oconnell, Matthew L can be contacted via phone (937) 435-9013.

Contact Information

Primary practice address
979 Congress Park Drive Centerville OH 45459-4009
Fax: (937) 435-9013
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35056112O Ohio

Profile Details

NPI number 1891750600
LBN Legal business name Oconnell, Matthew L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Jan 7th, 2021 - about 3 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 1891750600 NPPES
Ohio MEDICAID 0747375

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