O'Brien, John J.

O'Brien, John J. is an individual health care provider with primary practice located at 2630 Highway K , O Fallon MO 63368-6624. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. O'Brien, John J. can be contacted via phone (636) 240-5454.

Contact Information

Primary practice address
2630 Highway K O Fallon MO 63368-6624
Fax: (618) 980-5335
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R3E76 Missouri

Profile Details

NPI number 1083689061
LBN Legal business name O'Brien, John J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Feb 24th, 2021 - 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 1083689061 NPPES
Missouri Other 080171320 RAILROAD MEDICARE

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