O'Connor, Mark

O'Connor, Mark is an individual health care provider with primary practice located at 2409 Cherry St Ste 100, Toledo OH 43608-2625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. O'Connor, Mark can be contacted via phone (419) 251-3700.

Contact Information

Primary practice address
2409 Cherry St Ste 100 Toledo OH 43608-2625
Phone: (419) 251-3700
Fax: (419) 251-3835
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 350721050 Ohio

Profile Details

NPI number 1245232800
LBN Legal business name O'Connor, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Feb 6th, 2009 - about 16 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 1245232800 NPPES
Michigan MEDICAID 4140805
Michigan Other 060056251
Michigan MEDICAID 2018846
Michigan Other 000000140670
Michigan Other 02570
Michigan Other 1105810672

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