O'Connor, Michael

O'Connor, Michael is an individual health care provider with primary practice located at 3760 Brookside Rd , Macungie PA 18062-1741. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. O'Connor, Michael can be contacted via phone (610) 966-4646.

Contact Information

Primary practice address
3760 Brookside Rd Macungie PA 18062-1741
Phone: (610) 966-4646
Fax: (610) 965-6201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS007620L Pennsylvania

Profile Details

NPI number 1760451975
LBN Legal business name O'Connor, Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Sep 6th, 2012 - about 13 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 1760451975 NPPES
Pennsylvania MEDICAID 0014101660005
Pennsylvania Other 402381
Pennsylvania Other 01217501
Pennsylvania Other P00644919

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