Oconnor, Thomas M

Oconnor, Thomas M is an individual health care provider with primary practice located at 804 Grandview Dr Ste 2 , Ephrata PA 17522. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Oconnor, Thomas M can be contacted via phone (717) 466-2500.

Contact Information

Primary practice address
804 Grandview Dr Ste 2 Ephrata PA 17522
Fax: (717) 733-7865
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X OS009572L Pennsylvania
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X OS009572L Pennsylvania

Profile Details

NPI number 1144213992
LBN Legal business name Oconnor, Thomas M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Aug 20th, 2018 - about 6 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 1144213992 NPPES
Other 963231 BLUE SHIELD OF PA
MEDICAID 001602890 BLUE SHIELD OF PA
Other 20020201 BLUE SHIELD OF PA
Other 50009563 BLUE SHIELD OF PA
Other P00000115 BLUE SHIELD OF PA

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