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NPI Code Detail

MEDICARE: CAROL SUE O'CONNOR CNM

MEDICARE: CAROL SUE O'CONNOR CNM
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
1176B00000XMidwife07670OH

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 : 1326043746
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL SUE O'CONNOR CNM
Provider Business Mailing Address
First Line : 5400 FRANTZ RD
Second Line : SUITE 250
City : DUBLIN
State : OH
Zip : 43016-4144
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6001 E BROAD ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43213-1502
Country : US
Telephone Number : 614-234-6000
Fax Number : 614-546-3500
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2005
Last Update Date : 04/05/2022

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Directions to “ CAROL SUE O'CONNOR CNM” Practice Location

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