Oconnor, Carmen M.

Oconnor, Carmen M. is an individual health care provider with primary practice located at 10012 Kennerly Rd Suite 300, Saint Louis MO 63128. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Oconnor, Carmen M. can be contacted via phone (314) 842-0602.

Contact Information

Primary practice address
10012 Kennerly Rd Suite 300 Saint Louis MO 63128
Phone: (314) 842-0602
Fax: (314) 842-4372
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 133519 Missouri

Profile Details

NPI number 1841287067
LBN Legal business name Oconnor, Carmen M.
Credentials APRN, BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Jun 5th, 2018 - about 7 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 1841287067 NPPES
Missouri MEDICAID 428735603

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