O'Bryan, Joseph M

O'Bryan, Joseph M is an individual health care provider with primary practice located at 5120 Village Square Dr Suite 103, Paducah KY 42001-9060. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. O'Bryan, Joseph M can be contacted via phone (270) 442-0240.

Contact Information

Primary practice address
5120 Village Square Dr Suite 103 Paducah KY 42001-9060
Phone: (270) 442-0240
Fax: (270) 442-9599
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 36713 Kentucky
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01044033A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36713 Kentucky

Profile Details

NPI number 1770570400
LBN Legal business name O'Bryan, Joseph M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Apr 27th, 2020 - about 6 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 1770570400 NPPES
Kentucky MEDICAID 64880495

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