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NPI Code Detail

MEDICARE: DAN O'BRIEN D.O.

MEDICARE: DAN O'BRIEN D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician02002666AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427036474
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAN O'BRIEN D.O.
Provider Business Mailing Address
First Line : 1902 N COUNTY ROAD 25 E
Second Line :
City : PAOLI
State : IN
Zip : 47454-9222
Country : US
Telephone Number : 812-723-7450
Fax Number :
Provider Business Practice Location Address
First Line : 260 S MAPLE ST
Second Line :
City : ORLEANS
State : IN
Zip : 47452-1724
Country : US
Telephone Number : 812-865-3350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2006
Last Update Date : 02/21/2024

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Directions to “ DAN O'BRIEN D.O.” Practice Location

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