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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285711192 | NPPES |
| Maryland | Other | 60181101 | BLUE SHIELD |
| Maryland | Other | R5110006 | BLUE SHIELD |
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