O'Connell, Edward Michael

O'Connell, Edward Michael is an individual health care provider with primary practice located at 23050 West Rd Suite 120, Brownstown Twp MI 48183-1472. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. O'Connell, Edward Michael can be contacted via phone (734) 671-1510.

Contact Information

Primary practice address
23050 West Rd Suite 120 Brownstown Twp MI 48183-1472
Phone: (734) 671-1510
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601003160 Michigan

Profile Details

NPI number 1326062282
LBN Legal business name O'Connell, Edward Michael
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Feb 22nd, 2017 - about 9 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 1326062282 NPPES
Michigan Other 0H28864 BLUE CROSS
Michigan Other 1710315932 BLUE CROSS

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