Sean C Odonnell

LBN: Sean C Odonnell
Sean C Odonnell is an health care organization with primary practice located at 629 N Nevada Ave Suite 110, Colorado Springs CO 80903-1040. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Sean C Odonnell can be contacted via phone (719) 473-6171, or through Odonnell, Sean C via phone (719) 473-6171.

Contact Information

Primary practice address
629 N Nevada Ave Suite 110 Colorado Springs CO 80903-1040
Phone: (719) 473-6171
Fax: (719) 473-0740
Website:
Map and Directions
Authorized official contact:
Name: Odonnell, Sean C Doctor of Medicine (MD)
Phone: (719) 473-6171

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X 25481 Colorado

Profile Details

NPI number 1700062981
LBN Legal business name Sean C Odonnell
DBA Doing business as
Authorized official Odonnell, Sean C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2008
Last updated Feb 14th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700062981 NPPES
Colorado MEDICAID 01254812

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