O'Connor, John J

O'Connor, John J is an individual health care provider with primary practice located at 1002 Peruque Crossing Ct Suite 101, O Fallon MO 63366-2362. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. O'Connor, John J can be contacted via phone (636) 294-5900.

Contact Information

Primary practice address
1002 Peruque Crossing Ct Suite 101 O Fallon MO 63366-2362
Phone: (636) 294-5900
Fax: (636) 294-5908
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35988 Missouri

Profile Details

NPI number 1356392310
LBN Legal business name O'Connor, John J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Nov 13th, 2014 - about 12 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 1356392310 NPPES
Other 11310762 CAQH
Other MA1721004 CAQH

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