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NPI Code Detail

MEDICARE: DC OBRIEN ENTERPRISES INC

MEDICARE: DC OBRIEN ENTERPRISES INC
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

General Provider Information

NPI Number : 1316029960
Entity Type Code : Organization
Provider Name (Legal Business Name) : DC OBRIEN ENTERPRISES INC
Provider Business Mailing 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 : 812-865-3814
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 : 812-865-3814
Authorized Official
Title or Position : OWNER
Name : DANIEL P OBRIEN
Credential : DO
Telephone Number : 812-865-3350
Provider Enumeration Date : 10/20/2006
Last Update Date : 03/10/2014

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Directions to “DC OBRIEN ENTERPRISES INC ” Practice Location

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