O'Brien, Edward
O'Brien, Edward is an individual health care provider with primary practice located at 9930 Watson Rd , Saint Louis MO 63126-1827. He recently has only one registered license in Allopathic & Osteopathic Physicians / Body Imaging, which is considered as his primary health care specialty. O'Brien, Edward can be contacted via phone (314) 984-8827.Contact Information
Primary practice address
9930 Watson Rd
Saint Louis MO 63126-1827
Phone: (314) 984-8827
Fax: (314) 984-0736
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 03604249 | Illinois |
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | MO31097 | Missouri |
Profile Details
| NPI number | 1174527584 |
|---|---|
| LBN Legal business name | O'Brien, Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Jul 1st, 2008 - about 18 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 | 1174527584 | NPPES |
| Missouri | MEDICAID | 200439495 |
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