Shannon Bridget O'Brien in Ketchikan - Orthopaedic Surgery
Shannon Bridget O'Brien - NPI 1124167259
Shannon Bridget O'Brien is a Orthopaedic Surgery in Ketchikan, Alaska. Shannon Bridget O'Brien practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Shannon Bridget O'Brien is 1124167259. The last update date is 2018-04-05.
Shannon Bridget O'Brien's current location address is 3100 Tongass Ave, Ketchikan, Alaska. You can contact this provider via phone number 4043219900 and fax number 9072288323. The mailing address for Shannon Bridget O'Brien is 3100 Tongass Ave, Ketchikan, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Bridget O'Brien |
|---|---|
| Address | 3100 Tongass Ave, Ketchikan, Alaska |
| Phone Number | 4043219900 |
| Fax Number | 9072288323 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1124167259 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2018-04-05 |
Provider Mailing Address Detail
| Address | 3100 Tongass Ave |
|---|---|
| City | Ketchikan |
| State | Alaska (AK) |
| Post Code | 999015746 |
| Phone Number | 4043219900 |
| Fax Number | 9072288323 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery |
|---|---|
| Taxonomy | 207X00000X |
| Licence No | 105120 |
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Definition: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car |
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What is the unique identifier code issued to Shannon Bridget O'Brien by the Centers for Medicare & Medicaid Services (CMS)?
The Shannon Bridget O'Brien has been assigned the NPI (National Provider Identifier) 1124167259. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Shannon Bridget O'Brien?
The Shannon Bridget O'Brien is physically situated at 3100 Tongass Ave, in the city of Ketchikan, state of AK, with the postal code 999015746.
What is Shannon Bridget O'Brien's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shannon Bridget O'Brien's specialized field of practice is Orthopaedic Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 207X00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1124167259 to Shannon Bridget O'Brien?
The Shannon Bridget O'Brien received its 1124167259 assignment from the Centers for Medicare & Medicaid Services on 2007-02-05.
As of what date were the details related to Shannon Bridget O'Brien most recently updated or revised?
The information pertaining to Shannon Bridget O'Brien, including its address, specialty, and other relevant details, was last updated or revised on 2018-04-05.
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