O'Brien, James W

O'Brien, James W is an individual health care provider with primary practice located at 353 Main St , Manchester CT 06040-4145. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. O'Brien, James W can be contacted via phone (860) 649-3477.

Contact Information

Primary practice address
353 Main St Manchester CT 06040-4145
Phone: (860) 649-3477
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 035189 Connecticut

Profile Details

NPI number 1841275252
LBN Legal business name O'Brien, James W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated Feb 26th, 2016 - about 10 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 1841275252 NPPES
Connecticut MEDICAID 001351890

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