Oconnor, Richard Phillip
Oconnor, Richard Phillip is an sole proprietor health care provider with primary practice located at 4070 Lake Dr Se Ste 201, Grand Rapids MI 49546-8294. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Oconnor, Richard Phillip can be contacted via phone (616) 774-8200.Contact Information
Primary practice address
4070 Lake Dr Se Ste 201
Grand Rapids MI 49546-8294
Phone: (616) 774-8200
Fax: (616) 774-0304
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | RO044045 | Michigan |
Profile Details
| NPI number | 1457462467 |
|---|---|
| LBN Legal business name | Oconnor, Richard Phillip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Sep 26th, 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 | 1457462467 | NPPES |
| Michigan | MEDICAID | 3371432 | |
| Michigan | Other | 044045 |
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