O'Brien, John J.

O'Brien, John J. is an individual health care provider with primary practice located at 1307 N Saint Joseph Ave , Marshfield WI 54449-1340. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. O'Brien, John J. can be contacted via phone (715) 221-5600.

Contact Information

Primary practice address
1307 N Saint Joseph Ave Marshfield WI 54449-1340
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6543 Wisconsin

Profile Details

NPI number 1811208333
LBN Legal business name O'Brien, John J.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2010
Last updated Jun 10th, 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 1811208333 NPPES
Wisconsin MEDICAID APPR

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