Oconnor, Carolyn A

Oconnor, Carolyn A is an individual health care provider with primary practice located at 336 Chardonnay Ave Ste A , Prosser WA 99350-9515. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Oconnor, Carolyn A can be contacted via phone (509) 786-1576.

Contact Information

Primary practice address
336 Chardonnay Ave Ste A Prosser WA 99350-9515
Fax: (509) 786-1574
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00035321 Washington

Profile Details

NPI number 1962425322
LBN Legal business name Oconnor, Carolyn A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jun 2nd, 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 1962425322 NPPES
Washington MEDICAID 8214892

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