O'Hara, Patrick

O'Hara, Patrick is an individual health care provider with primary practice located at 611 W Main St , Fredericktown MO 63645-1111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. O'Hara, Patrick can be contacted via phone (573) 783-3341.

Contact Information

Primary practice address
611 W Main St Fredericktown MO 63645-1111
Phone: (573) 783-3341
Fax: (573) 783-1096
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 110421 Missouri

Profile Details

NPI number 1508972233
LBN Legal business name O'Hara, Patrick
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Mar 1st, 2021 - about 4 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 1508972233 NPPES
Missouri MEDICAID 204647903

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