O'Connell, Michael Jeffrey

O'Connell, Michael Jeffrey is an individual health care provider with primary practice located at 2435 S Telshor Blvd , Las Cruces NM 88011-5029. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. O'Connell, Michael Jeffrey can be contacted via phone (575) 522-7798.

Contact Information

Primary practice address
2435 S Telshor Blvd Las Cruces NM 88011-5029
Phone: (575) 522-7798
Fax: (575) 522-3415
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R37541 New Mexico

Profile Details

NPI number 1447253927
LBN Legal business name O'Connell, Michael Jeffrey
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Sep 15th, 2023 - about 3 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 1447253927 NPPES
New Mexico Other NM016345 BLUE CROSS BLUE SHIELD
New Mexico MEDICAID S9749 BLUE CROSS BLUE SHIELD

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