Oconnor, Angela M

Oconnor, Angela M is an individual health care provider with primary practice located at 7102 Mineral Point Rd , Madison WI 53717-1706. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Oconnor, Angela M can be contacted via phone (608) 828-7603.

Contact Information

Primary practice address
7102 Mineral Point Rd Madison WI 53717-1706
Fax: (608) 828-7644
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 44207020 Wisconsin
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 42431 Iowa
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 44207-20 Wisconsin

Profile Details

NPI number 1457334468
LBN Legal business name Oconnor, Angela M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Jul 3rd, 2022 - 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 1457334468 NPPES
Wisconsin MEDICAID 34189500

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