Odonoghue, Brian T

Odonoghue, Brian T is an sole proprietor health care provider with primary practice located at 107 Old Highway 60 , Hardinsburg KY 40143-2501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Odonoghue, Brian T can be contacted via phone (270) 580-2250.

Contact Information

Primary practice address
107 Old Highway 60 Hardinsburg KY 40143-2501
Phone: (270) 580-2250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 32124 Kentucky

Profile Details

NPI number 1962402842
LBN Legal business name Odonoghue, Brian T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2005
Last updated Jan 28th, 2020 - about 5 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 1962402842 NPPES
Kentucky Other 000000066552 ANTHEM
Kentucky MEDICAID 65900656 ANTHEM
Kentucky Other 1072079 ANTHEM

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