Odonoghue, Michael J

Odonoghue, Michael J is an individual health care provider with primary practice located at 11110 Medical Campus Rd , Hagerstown MD 21742-6700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Odonoghue, Michael J can be contacted via phone (301) 665-4901.

Contact Information

Primary practice address
11110 Medical Campus Rd Hagerstown MD 21742-6700
Phone: (301) 665-4901
Fax: (301) 665-4941
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X D59367 Maryland

Profile Details

NPI number 1285711192
LBN Legal business name Odonoghue, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - about 19 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 1285711192 NPPES
Maryland Other 60181101 BLUE SHIELD
Maryland Other R5110006 BLUE SHIELD

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