Oconnell, Timothy Rogers
Oconnell, Timothy Rogers is an individual health care provider with primary practice located at 621 South New Ballas Road Suite 6003B, Saint Louis MO 63141. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Oconnell, Timothy Rogers can be contacted via phone (314) 991-2151.Contact Information
Primary practice address
621 South New Ballas Road Suite 6003B
Saint Louis MO 63141
Phone: (314) 991-2151
Fax: (314) 991-2742
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 34187 | Missouri |
Profile Details
| NPI number | 1689685786 |
|---|---|
| LBN Legal business name | Oconnell, Timothy Rogers |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Sep 8th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689685786 | NPPES |
| Other | 3066028001 | CIGNA | |
| Other | 6960V41192 | CIGNA | |
| Other | 240007863 | CIGNA | |
| Other | 000004321 | CIGNA | |
| Other | A11093 | CIGNA | |
| Other | 6960V41192 | CIGNA |
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