O'Connor, Brian Joseph

O'Connor, Brian Joseph is an individual health care provider with primary practice located at 2555 Court Dr Suite 200, Gastonia NC 28054-2134. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. O'Connor, Brian Joseph can be contacted via phone (704) 867-2141.

Contact Information

Primary practice address
2555 Court Dr Suite 200 Gastonia NC 28054-2134
Phone: (704) 867-2141
Fax: (704) 867-2308
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 102119 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 102119 North Carolina

Profile Details

NPI number 1710092861
LBN Legal business name O'Connor, Brian Joseph
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated May 8th, 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 1710092861 NPPES
South Carolina MEDICAID 0360PA
South Carolina MEDICAID 8101097

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