O'Dea, Patrick J

O'Dea, Patrick J is an individual health care provider with primary practice located at 11 Titcomb St , Newburyport MA 01950-2507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. O'Dea, Patrick J can be contacted via phone (999) 000-0000.

Contact Information

Primary practice address
11 Titcomb St Newburyport MA 01950-2507
Phone: (999) 000-0000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 01023960A Indiana

Profile Details

NPI number 1427051366
LBN Legal business name O'Dea, Patrick J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated May 19th, 2016 - about 10 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 1427051366 NPPES
Indiana Other 000000084426 ANTHEM
Indiana Other 4359775 ANTHEM
Indiana MEDICAID 100323800 ANTHEM
Indiana Other 2047381003 ANTHEM
Indiana Other 791101024 ANTHEM

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