O'Brien, Colin James
O'Brien, Colin James is an individual health care provider with primary practice located at 2769 Heartland Dr Suite 105, Coralville IA 52241-2732. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. O'Brien, Colin James can be contacted via phone (319) 545-7310.Contact Information
Primary practice address
2769 Heartland Dr Suite 105
Coralville IA 52241-2732
Phone: (319) 545-7310
Fax: (319) 545-7314
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 35980 | Iowa |
Profile Details
| NPI number | 1134173016 |
|---|---|
| LBN Legal business name | O'Brien, Colin James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2006 |
| Last updated | Apr 27th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134173016 | NPPES |
| Iowa | Other | 19323 | BLUE CROSS BLUE SHIELD |
| Iowa | Other | 13568 | BLUE CROSS BLUE SHIELD |
| Iowa | Other | 13572 | BLUE CROSS BLUE SHIELD |
| Iowa | MEDICAID | 1486803 | BLUE CROSS BLUE SHIELD |
| Iowa | MEDICAID | 0486803 | BLUE CROSS BLUE SHIELD |
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