O'Brien, Edward Thomas

O'Brien, Edward Thomas is an individual health care provider with primary practice located at 1575 N Old Trl , Selinsgrove PA 17870-8381. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. O'Brien, Edward Thomas can be contacted via phone (570) 374-8555.

Contact Information

Primary practice address
1575 N Old Trl Selinsgrove PA 17870-8381
Phone: (570) 374-8555
Fax: (570) 374-9933
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X MD024174E Pennsylvania
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 235282-1 New York

Profile Details

NPI number 1205808276
LBN Legal business name O'Brien, Edward Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Dec 20th, 2013 - about 13 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 1205808276 NPPES
New York MEDICAID 00949440
New York Other CC9269
New York Other GU039841
New York MEDICAID 0010399860010
New York Other P00127810

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